Provider Demographics
NPI:1689213597
Name:SELFAISON, ARNALDO SANTOS (BSN RN)
Entity Type:Individual
Prefix:MR
First Name:ARNALDO
Middle Name:SANTOS
Last Name:SELFAISON
Suffix:
Gender:M
Credentials:BSN RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3520 73RD ST APT 6M
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-4116
Mailing Address - Country:US
Mailing Address - Phone:347-537-9459
Mailing Address - Fax:
Practice Address - Street 1:KIRBY FORENSIC PSYCHIATRIC CENTER
Practice Address - Street 2:WARDS ISLAND COMPLEX
Practice Address - City:MANHATTAN
Practice Address - State:NY
Practice Address - Zip Code:10035
Practice Address - Country:US
Practice Address - Phone:646-672-6800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-26
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY594567163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult