Individual
DR. MILAGROS SANTIAGO-VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
77 STAHLEY ROAD, LORETTA PARK ELEMENTARY, BRENTWOOD, NY 11717
(631) 434-2246
Mailing address
77 STAHLEY ROAD, LORETTA PARK ELEMENTARY, BRENTWOOD, NY 11717
(631) 434-2246
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
010085
NY
390200000X
Student in an Organized Health Care Education/Training Program
010085-1
NY
Other
Enumeration date
11/23/2011
Last updated
09/29/2020
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