Individual
MICHAEL ANTHONY SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1496
(718) 470-7000
Mailing address
51 RADCLIFFE AVE, FARMINGDALE, NY 11735-5220
(631) 379-7926
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
433011
NY
Other
Enumeration date
06/20/2024
Last updated
07/16/2024
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