Individual
DR. RAJEEV SANTIAGO FERNANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
325 MEETING HOUSE LN, BUILDING #2, SOUTHAMPTON, NY 11968-5087
(631) 283-4048
(631) 283-5396
Mailing address
PO BOX 2340, SOUTHAMPTON, NY 11969-2340
(631) 283-2430
(631) 283-7496
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
255938
NY
Other
Enumeration date
06/18/2009
Last updated
11/29/2011
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