Santiago, Carmen

Santiago, Carmen is an individual health care provider with primary practice located at 1650 Grand Concourse , Bronx NY 10457-7606. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Santiago, Carmen can be contacted via phone (718) 518-5659.

Contact Information

Primary practice address
1650 Grand Concourse Bronx NY 10457-7606
Phone: (718) 518-5659
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 00154 New York
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 14000016742 New York
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 41YA00093300 New Jersey

Profile Details

NPI number 1043311046
LBN Legal business name Santiago, Carmen
Credentials AU.D
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Oct 23rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043311046 NPPES
New York MEDICAID 2289958

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