Healthcare Provider Details

I. General information

NPI: 1346054145
Provider Name (Legal Business Name): GABRIELA ESPINAL-SANTIAGO MS., MT-BC, LCAT-LP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2025
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

248 HIGBIE LN FL 1
WEST ISLIP NY
11795-2828
US

IV. Provider business mailing address

248 HIGBIE LN FL 1
WEST ISLIP NY
11795-2828
US

V. Phone/Fax

Practice location:
  • Phone: 631-867-2501
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License NumberP133408
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: