Individual
MS. MIRIAM SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
300 GIDNEY AVE, NEWBURGH, NY 12550-3330
(845) 563-8471
(845) 563-8474
Mailing address
300 GIDNEY AVE, NEWBURGH, NY 12550-3330
(845) 563-8471
(845) 563-8474
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
345645
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02808
—
NY
Enumeration date
01/03/2012
Last updated
01/03/2012
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