Individual
KATHY SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
7000 AUSTIN STREET AVENUE, NEW YORK, NY 11375
(186) 669-6099
Mailing address
900 FLUSHING AVE, # 2 L, BROOKLYN, NY 11206
(917) 972-1999
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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