Individual
JEANINE SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
124 SMITHTOWN RD, FISHKILL, NY 12524-2452
(845) 896-7712
(845) 592-0328
Mailing address
124 SMITHTOWN RD, FISHKILL, NY 12524-2452
(845) 896-7712
(845) 592-0328
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NY181053
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01366898
—
NY
01
—
NY181053
LICENSE NEW YORK
NY
Enumeration date
07/16/2007
Last updated
07/16/2007
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