MEDICARE: PAMELA SANTIAGO NURSE PRACTITIONER IN PSYCHIATRY PLLC

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1700731163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAMELA SANTIAGO NURSE PRACTITIONER IN PSYCHIATRY PLLC

Provider Business Mailing Address
First Line	:	2350 N FOREST RD STE 35B
Second Line	:
City	:	GETZVILLE
State	:	NY
Zip	:	14068-1296
Country	:	US
Telephone Number	:	716-479-3703
Fax Number	:

Provider Business Practice Location Address
First Line	:	2350 N FOREST RD STE 35B
Second Line	:
City	:	GETZVILLE
State	:	NY
Zip	:	14068-1296
Country	:	US
Telephone Number	:	716-479-3703
Fax Number	:

Authorized Official
Title or Position	:	NP/OWNER
Name	:	PAMELA SANTIAGO
Credential	:	NP
Telephone Number	:	716-479-3703

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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