Individual
KRISTAL M SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 NICOLLS RD., HSC T12 RM 080, STONY BROOK, NY 11794-1535
(631) 444-1116
Mailing address
557 ELDER LN, RONKONKOMA, NY 11779-6020
(631) 764-8485
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
673328
NY
363L00000X
Nurse Practitioner
Primary
F346175-01
NY
363LF0000X
Family Nurse Practitioner
346175
NY
Other
Enumeration date
04/14/2020
Last updated
09/28/2023
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