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Organization

JOSEPH P. SANTIAMO MEDICINE P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH PATRICK SANTIAMO M.D. (PRESIDENT)
(718) 967-3000
Entity
Organization

Contact information

Practice address
4268 RICHMOND AVE, STATEN ISLAND, NY 10312-6239
(718) 967-3000
(718) 966-2083
Mailing address
4268 RICHMOND AVE, STATEN ISLAND, NY 10312-6239
(718) 967-3000
(718) 966-2083

Taxonomy

Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
157471
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01062064
NY
Enumeration date
03/12/2012
Last updated
03/12/2012
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