Individual
MRS. PAMELA SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
95 WEST HUMBOLDT PKWY, BUFFALO, NY 14214
(716) 710-5151
(716) 883-0687
Mailing address
95 WEST HUMBOLDT PKWY, BUFFALO, NY 14214
(716) 710-5151
(716) 883-0687
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
5152359
NY
101YM0800X
Mental Health Counselor
004564-1
NY
163W00000X
Registered Nurse
422979-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402500
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00675796
—
NY
Enumeration date
01/15/2008
Last updated
09/04/2018
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