Individual
MR. EMAUS BRENDAN SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
76-55 AUSTIN STREET, FOREST HILLS, NY 11375
(718) 897-2228
(718) 897-2251
Mailing address
76-55 AUSTIN STREET, FOREST HILLS, NY 11375
(718) 897-2228
(718) 897-2251
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
009826
NY
363A00000X
Physician Assistant
PA9103810
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9103810
STATE LICENSE
FL
Enumeration date
12/12/2006
Last updated
11/14/2008
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