Santulli, Jeannette

Santulli, Jeannette is an sole proprietor health care provider with primary practice located at 197 Half Hollow Rd , Dix Hills NY 11746-5861. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent is her primary health care specialty. Santulli, Jeannette can be contacted via phone (631) 286-6935.

Contact Information

Primary practice address
197 Half Hollow Rd Dix Hills NY 11746-5861
Phone: (631) 286-6935
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 417230 1 New York
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X F401156-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent 364SP0807X F4011561 New York

Profile Details

NPI number 1497946784
LBN Legal business name Santulli, Jeannette
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2007
Last updated Jan 13th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497946784 NPPES
New York MEDICAID 02077636

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