Most Relevant Information
Provider Data
| NPI Number: | 1003003856 |
| Provider Name: | CYNTHIA SANTIAGO M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 217808 |
Most Important Dates
| Enumeration Date: | 09/26/2007 |
| Last Updated: | 12/19/2014 |
Provider Practice Location
5 ROOSEVELT AVE
PORT JEFFERSON STATION
NY
117763336
Practice Location Phone/Fax
| Phone: | 6317326984 |
| Fax: | 6317327019 |
Provider Mailing Location
5 ROOSEVELT AVE
PORT JEFFERSON STATION
NY
117762568
Provider Mailing Phone/Fax
| Phone: | 6317326984 |
| Fax: | 6317327019 |
Suggested EMR
Family Practice EMR