JACK DE SANTIS

COMMACK, NY
NPI1245398197
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NY  PR0047581)
Enumeration Date2006-12-04
Last Update Date2007-07-08
Business Address
MR. JACK DE SANTIS LCSW
368 VETERANS MEMORIAL HIGHWAY SUITE #1
COMMACK, NY 11725-4315
Phone number: 631-543-8779
Mailing Address
MR. JACK DE SANTIS LCSW
414 RIDGEFIELD ROAD
HAUPPAUGE, NY 11788-2312
Phone number: 631-361-8865
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