Individual
MRS. EVELYN SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
24 OLD FIREHOUSE ROAD, WALLKILL, NY 12589
(845) 563-8000
Mailing address
2570 ROUTE 9W, SUITE 10, CORNWALL, NY 12518
(845) 220-3100
(845) 534-2940
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
581312
NY
363LF0000X
Family Nurse Practitioner
Primary
F338358
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03993533
—
NY
Enumeration date
10/24/2013
Last updated
06/07/2019
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