Santiago, Crystal

Santiago, Crystal is an individual health care provider with primary practice located at 101 Jordan Rd Suite 200, Troy NY 12180-8309. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Santiago, Crystal can be contacted via phone (518) 274-0476.

Contact Information

Primary practice address
101 Jordan Rd Suite 200 Troy NY 12180-8309
Phone: (518) 274-0476
Fax: (518) 274-0497
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2847000 New York

Profile Details

NPI number 1760729131
LBN Legal business name Santiago, Crystal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2013
Last updated Nov 22nd, 2016 - about 9 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 1760729131 NPPES
New York MEDICAID 04502787

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