Individual
CLAYTON SANTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 ROBINSON ST, BINGHAMTON, NY 13904-1775
(607) 773-4044
Mailing address
425 ROBINSON ST, BINGHAMTON, NY 13904-1775
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
905122
NY
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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