Healthcare Provider Details

I. General information

NPI: 1134054141
Provider Name (Legal Business Name): ELIA DENNY DE LOS SANTOS NP-C ,RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

260 S BROADWAY APT 5T
YONKERS NY
10705-2002
US

IV. Provider business mailing address

260 S BROADWAY
YONKERS NY
10705-2011
US

V. Phone/Fax

Practice location:
  • Phone: 203-721-2569
  • Fax:
Mailing address:
  • Phone: 203-721-2569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number935223-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: