Santiago, Sandra L

Santiago, Sandra L is an individual health care provider with primary practice located at Mount Kisco Medical Group 90 South Bedford Road, Mount Kisco NY 10549-3412. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Santiago, Sandra L can be contacted via phone (914) 241-1050.

Contact Information

Primary practice address
Mount Kisco Medical Group 90 South Bedford Road Mount Kisco NY 10549-3412
Fax: (914) 242-2989
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 218833 New York

Profile Details

NPI number 1114098555
LBN Legal business name Santiago, Sandra L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Aug 5th, 2016 - about 8 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 1114098555 NPPES
New York MEDICAID 02832048

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