Individual
MRS. DIANA SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 CASSE CT, MAHOPAC, NY 10541-4505
(845) 621-0146
(845) 621-0146
Mailing address
24 CASSE CT, MAHOPAC, NY 10541-4505
(845) 621-0146
(845) 621-0146
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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