Individual
MERCEDES SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
15715 19TH AVE, WHITESTONE, NY 11357-3820
(718) 746-0400
Mailing address
1028 WILLOUGHBY AVE APT 2, BROOKLYN, NY 11221-2710
(646) 279-3062
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005892-1
NY
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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