Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 149468 | NY |
NPI | 1578528816 |
---|---|
Provider Name | Dr. Maria T Santiago |
First Address | New Hyde Park, NY 11042-2058 |
Second Address | New Hyde Park, NY 11042-2058 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 20/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02313239 | (05) | NY |
E78972 | (02) |