Individual
SANDRA L SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MOUNT KISCO MEDICAL GROUP, 90 SOUTH BEDFORD ROAD, MOUNT KISCO, NY 10549-3412
(914) 241-1050
(914) 242-2989
Mailing address
110 SOUTH BEDFORD ROAD, MOUNT KISCO MEDICAL GROUP PC, MOUNT KISCO, NY 10549
(914) 241-1050
(914) 242-2989
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
218833
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02832048
—
NY
Enumeration date
11/09/2006
Last updated
08/05/2016
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