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1508407529
MARIO SANTIAGO
NEW YORK, NY
NPI
1508407529
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 024111)
Enumeration Date
2019-10-01
Last Update Date
2023-03-15
Business Address
MARIO SANTIAGO PA
622 W 168TH ST
NEW YORK, NY 10032-3720
Phone number: 212-305-2995
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Mailing Address
MARIO SANTIAGO PA
141 W 74TH ST APT 3A
NEW YORK, NY 10023-2258
Phone number: 786-877-1775
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