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Organization
SGR MEDICAL DOCTOR P.C.
Active
Organization
SGR MEDICAL DOCTOR P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XIOMARA M SANTOS M.D (PHYCOLOGY)
(212) 928-1400
Entity
Organization
Contact information
Practice address
395 FORT WASHINGTON AVE, SUITE 6, NEW YORK, NY 10033-6728
(212) 928-1400
(212) 923-5595
Mailing address
395 FORT WASHINGTON AVE, SUITE 6, NEW YORK, NY 10033-6728
(212) 928-1400
(212) 923-5595
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
05/29/2018
Last updated
07/26/2019
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