Doctor Name: | MARVEE GAY SANTIAGO ESPIRITU |
NPI Number: | 1376945345 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 017978 |
Business Practice Address: | 1220 New Scotland Rd Suite 101 Slingerlands, NY - 121599386 |
Business Phone Number: | 5184394326 |
Business Fax Number: | |
Mailing Address: | 1220 New Scotland Rd, Suite 101 SLINGERLANDS |
State: | NY |
Postal Code: | 121599386 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/22/2014 |
NPI Last Update Date: | 09/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 017978 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |