Individual
ALYSSA JEANINE SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4141
Mailing address
1418 77TH ST, BROOKLYN, NY 11228-2426
(347) 816-3666
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
033336
NY
363AS0400X
Surgical Physician Assistant
033336
NY
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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