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Organization
JASFORENSICS, LLC
Active
Organization
JASFORENSICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ANTHONY SANTIAGO III LMHC, PSYD-MFT (CLINIC COORDINATOR)
(917) 346-7479
Entity
Organization
Contact information
Practice address
190 SEIGEL RD, ELLENVILLE, NY 12428-5724
(917) 346-7479
Mailing address
190 SEIGEL RD, ELLENVILLE, NY 12428-5724
(917) 346-7479
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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