MARIO SANTIAGO

NEW YORK, NY
NPI1508407529
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  024111)
Enumeration Date2019-10-01
Last Update Date2023-03-15
Business Address
MARIO SANTIAGO PA
622 W 168TH ST
NEW YORK, NY 10032-3720
Phone number: 212-305-2995
Mailing Address
MARIO SANTIAGO PA
141 W 74TH ST APT 3A
NEW YORK, NY 10023-2258
Phone number: 786-877-1775