Individual
JONOR ESPIRITU SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
METRO COMMUNITY HEALTH CENTER, 2324 FOREST AVENUE, STATEN ISLAND, NY 10303-1506
(718) 447-0200
Mailing address
52 GRACE DR, OLD BRIDGE, NJ 08857-2546
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401524
NY
Other
Enumeration date
07/03/2014
Last updated
12/09/2024
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