Individual
EDWIN SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MIDWIFE
Contact information
Practice address
1650 GRAND CONCOURSE, 5TH FL OB GYN ADMINISTRATION, BRONX, NY 10457-7606
(718) 239-8383
(718) 239-8360
Mailing address
21 UNION ST, RIDGEFIELD PARK, NJ 07660-2220
(718) 239-8383
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
F000505
NY
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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