Individual
KIMBERLY SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
250 GRAND CONCOURSE, BRONX, NY 10451-5430
(718) 206-2000
Mailing address
250 GRAND CONCOURSE, BRONX, NY 10451-5430
(718) 206-2000
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
744534
NY
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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