Most Relevant Information
Provider Data
| NPI Number: | 1003541392 |
| Provider Name: | CARLOS SANTANA LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 115764-01 |
Most Important Dates
| Enumeration Date: | 07/20/2022 |
| Last Updated: | 11/03/2022 |
Provider Practice Location
560 SOUTHERN BLVD
BRONX
NY
104553715
Practice Location Phone/Fax
| Phone: | 7185428082 |
| Fax: |
Provider Mailing Location
2513 86TH ST
EAST ELMHURST
NY
113691026
Provider Mailing Phone/Fax
| Phone: | 6462046422 |
| Fax: |