Individual
MR. JOSE R SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC 2
Contact information
Practice address
19 UNION SQ W, NEW YORK, NY 10003-3304
(212) 627-9600
Mailing address
19 UNION SQ W, NEW YORK, NY 10003-3304
(212) 627-9600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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