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NPI Code Detail

MEDICARE: MS. SHEILA CRISTINA SANTIAGO LCSW

MEDICARE:  MS. SHEILA CRISTINA SANTIAGO  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerR057599-1NY

General Provider Information

NPI Number : 1487706792
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHEILA CRISTINA SANTIAGO LCSW
Provider Business Mailing Address
First Line : 98 SAINT MARKS PL
Second Line : APT 1A
City : NEW YORK
State : NY
Zip : 10009-5844
Country : US
Telephone Number : 212-387-8103
Fax Number :
Provider Business Practice Location Address
First Line : 19 VEDDER AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-1509
Country : US
Telephone Number : 718-370-2975
Fax Number : 718-494-7836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 07/08/2007

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Directions to “ MS. SHEILA CRISTINA SANTIAGO LCSW” Practice Location

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