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Individual

DR. RICARDO N SANTIAGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
824 55TH ST, BROOKLYN, NY 11220-3263
(718) 686-1733
(718) 686-1723
Mailing address
8800 20TH AVE APT 6L, BROOKLYN, NY 11214-4821
(646) 643-4267
(347) 492-5526

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
202437
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01846395
NY
01
164456
ELDERPLAN
NY
01
202437
HIP
NY
01
2799800
GHI
NY
01
P2099873
OXFORD
NY
01
RS096E0210
BLUE CROSS BLUE SHIELD
NY
Enumeration date
10/25/2006
Last updated
01/19/2017
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