Individual
AIDA L SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
919 WESTFALL RD STE 220, ROCHESTER, NY 14618-2628
(585) 341-7500
(585) 341-7510
Mailing address
601 ELMWOOD AVE, BOX 278984, ROCHESTER, NY 14642-0001
(585) 341-7500
(585) 341-7510
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
306904
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
306904-1
NY
Other
Enumeration date
11/06/2014
Last updated
05/15/2023
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