Individual
MR. SANTIAGO SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 RESERVE RD STE 4A, DANBURY, CT 06810-5267
(203) 794-1979
Mailing address
1752 FRANCIS LEWIS BLVD, WHITESTONE, NY 11357-3247
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5506
CT
Other
Enumeration date
08/19/2021
Last updated
01/02/2024
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