Individual
MR. JEREMIAH SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2171 WEST ST, BROOKLYN, NY 11223-4743
(646) 647-4186
Mailing address
2171 WEST ST, BROOKLYN, NY 11223-4743
(646) 647-4186
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
028072
NY
Other
Enumeration date
09/07/2020
Last updated
09/07/2020
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