Individual provider · Type 1 NPI
Rafael A. De Los Santos, MD
Primary Care Clinic/Center · Great Neck, NY
NPI number
1366877946
Active
Practice location
9 William St
Great Neck, NY 11023-1120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 095425 (NY) |
Primary Care Clinic/Center: Definition to come...
About NPI 1366877946
Rafael A. De Los Santos, MD's National Provider Identifier is 1366877946, issued on Sep 13, 2013. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Great Neck, NY. The record was last updated on Sep 13, 2013.