Individual
HERMOGENES SANTIAGO SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 E 84TH ST, APT. 12F, NEW YORK, NY 10028-2000
(212) 288-7612
Mailing address
171 E 84TH ST, APT. 12F, NEW YORK, NY 10028-2000
(212) 288-7612
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
137255
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE NUMBER 13725
LICENSE
NY
Enumeration date
02/02/2012
Last updated
02/02/2012
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