NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

CYNTHIA SANTIAGO, MD
5 ROOSEVELT AVE
PORT JEFFERSON STATION, NY11776-3336
 Phone: 631-732-6984
 Fax: 631-732-7019
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CYNTHIA SANTIAGO · (Female)

NPI Number 1003003856
Status Active
Credentials MD
Entity Individual
Enumeration date 09/26/2007
Last updated 12/19/2014 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 217808
  • NY Medicaid 02162494
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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