Gabrielle Alicea Santana | Brooklyn, NY • PECOS Search

Gabrielle Alicea Santana

Specialist

Other Service Providers

1517 85th St, Brooklyn, NY 11228-3418

PECOS Enrollment

Based on the most recent information from CMS, provider Gabrielle Alicea Santana does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1699028993
Provider Type
Individual
Full Name
Santana, Gabrielle Alicea
Title
Ms.
Credential
M.S. ED

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/24/2012
Last Updated
11/14/2012

Contact Information

Practice Location

1517 85th St, Brooklyn, NY 11228-3418

Unlisted Fax

Mailing Location

1517 85th St, Brooklyn, NY 11228-3418

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License 652152121 New York