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NPI Code Detail

MEDICARE: KENNIA SANTIAGO NP

MEDICARE: KENNIA SANTIAGO NP
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
1363LF0000XFamily Nurse Practitioner338140NY

General Provider Information

NPI Number : 1669800553
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNIA SANTIAGO NP
Provider Business Mailing Address
First Line : 51 E 67TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10065-5949
Country : US
Telephone Number : 212-535-5350
Fax Number :
Provider Business Practice Location Address
First Line : 51 E 67TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10065-5949
Country : US
Telephone Number : 212-535-5350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2013
Last Update Date : 10/31/2013

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