Individual ProviderJustin De SantisSocial WorkerBehavioral Health & Social Service ProvidersPractice Address481 8th Ave Ste 1040, New York, NY 10001-1809(212) 244-4447PECOS EnrollmentBased on the most recent information from CMS, provider Justin De Santis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 2:56 PM.Profile DetailsProvider ID1972149441Provider TypeIndividualFull NameDe Santis, JustinGenderMaleSole ProprietorNoEnumeration Date11/20/2019Last Updated11/20/2019Contact InformationPractice LocationPractice Address481 8th Ave Ste 1040, New York, NY 10001-1809Phone(212) 244-4447FaxUnlisted FaxMailing LocationMailing Address140 E 7th St Apt 4g, New York, NY 10009-6213PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer