Organization
RICARDO N SANTIAGO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO N SANTIAGO MD (OWNER)
(646) 643-4267
Entity
Organization
Contact information
Practice address
5434 2ND AVE, BROOKLYN, NY 11220-2606
(718) 360-2228
Mailing address
6252 AUSTIN ST, REGO PARK, NY 11374-1560
(646) 643-4267
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01846395
—
NY
Enumeration date
10/08/2010
Last updated
11/05/2010
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