Provider Demographics
NPI:1962506105
Name:DOS SANTOS, JEANNE (FNP)
Entity Type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:
Last Name:DOS SANTOS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:JEANNE
Other - Middle Name:DOS SANTOS
Other - Last Name:MARINHO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:22 SAW MILL RIVER RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-1533
Mailing Address - Country:US
Mailing Address - Phone:914-593-1659
Mailing Address - Fax:914-593-1790
Practice Address - Street 1:755 N BROADWAY
Practice Address - Street 2:SUITE 400
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-1075
Practice Address - Country:US
Practice Address - Phone:914-366-3400
Practice Address - Fax:914-366-3407
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY334284363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner