Individual
MARIA SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
966 PROSPECT AVE, BRONX, NY 10459
(718) 617-6060
Mailing address
1776 CLAY AVE, BRONX, NY 10457
(347) 649-3022
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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