| Doctor Name: | ALIZANDRA SANTANA |
| NPI Number: | 1215359104 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 7260 Metropolitan Ave Middle Village, NY - 113792108 |
| Business Phone Number: | 7188948400 |
| Business Fax Number: | 7188948410 |
| Mailing Address: | 4618 104th St, CORONA |
| State: | NY |
| Postal Code: | 113682813 |
| Phone Number: | 7188061562 |
| Fax Number: | 7188061562 |
| NPI Enumeration Date: | 01/10/2014 |
| NPI Last Update Date: | 01/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |