Jerra Santaniello

NPI #1053977025 in Modena, New York

Provider Information

NPI Number
1053977025
Entity Type
Individual
Name
Jerra Santaniello
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 15, 2019
Last Updated
May 15, 2019

Practice Location

Address
1820 STATE ROUTE 32
City
Modena
ZIP Code
12548-5009
Phone
(718) 828-2666

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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