Provider Demographics
NPI:1487245098
Name:JOCELYN ULANG SANTOS NURSE PRACTITIONER IN ADULT HEALTH PLLC
Entity type:Organization
Organization Name:JOCELYN ULANG SANTOS NURSE PRACTITIONER IN ADULT HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JOCELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:518-364-8226
Mailing Address - Street 1:8808 32ND AVE APT 607
Mailing Address - Street 2:
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11369-1440
Mailing Address - Country:US
Mailing Address - Phone:518-364-8226
Mailing Address - Fax:
Practice Address - Street 1:38 W 32ND ST STE 1106
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3836
Practice Address - Country:US
Practice Address - Phone:518-364-8226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-27
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty