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MR. EDUARDO SANTIAGO ANTONIO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1879 MADISON AVE, NEW YORK, NY 10035-2709
(212) 423-4262
Mailing address
80 CHARLOTTE PL, HARTSDALE, NY 10530-2602
(914) 625-4568

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0004771
NY

Other

Enumeration date
09/29/2006
Last updated
07/08/2007
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