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Individual

MS. SANDRA SANTIAGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CASAC-T

Contact information

Practice address
810 CLASSON AVE, BROOKLYN, NY 11238-6102
(718) 230-5100
(718) 230-5425
Mailing address
450 KENT AVE, BROOKLYN, NY 11249-5904
(347) 591-8198

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
27336
NY

Other

Enumeration date
10/27/2012
Last updated
10/27/2012
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