Fiordalisa R Santiago Lcsw Pllc | |
2986 Otis Ave # 1 Bronx NY 10465-2138 | |
(917) 796-6315 | |
(718) 822-0902 |
Full Name | Fiordalisa R Santiago Lcsw Pllc |
---|---|
Speciality | Social Worker |
Location | 2986 Otis Ave # 1, Bronx, New York |
Authorized Official Name and Position | Fiordalisa R Santiago (LCSW-R) |
Authorized Official Contact | 9177966315 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Fiordalisa R Santiago Lcsw Pllc 2986 Otis Ave # 1 Bronx NY 10465-2138 Ph: (917) 796-6315 | Fiordalisa R Santiago Lcsw Pllc 2986 Otis Ave # 1 Bronx NY 10465-2138 Ph: (917) 796-6315 |
NPI Number | 1962109819 |
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Provider Enumeration Date | 02/10/2023 |
Last Update Date | 02/13/2023 |
Certification Date | 02/13/2023 |
Medicare PECOS PAC ID | 0547627663 |
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Medicare Enrollment ID | O20230606000890 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962109819 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Fiordalisa R Santiago |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801902036 PECOS PAC ID: 6608934468 Enrollment ID: I20180614000643 |
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