Individual
ASHLEY DYAN PANALIGAN SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6500
Mailing address
137 ANN ST, VALLEY STREAM, NY 11580-2703
(516) 710-4318
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020424
NY
Other
Enumeration date
09/23/2016
Last updated
12/02/2016
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