| Doctor Name: | MS. EVELIA MARGARITA SANTIAGO-GOMEZ |
| NPI Number: | 1922090760 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSWR |
| License Number: | R052184 |
| Business Practice Address: | 2519 Bruynswick Rd Wallkill, NY - 125893244 |
| Business Phone Number: | 8454769800 |
| Business Fax Number: | 8457446793 |
| Mailing Address: | 2519 Bruynswick Rd, WALLKILL |
| State: | NY |
| Postal Code: | 125893244 |
| Phone Number: | 8454769800 |
| Fax Number: | |
| NPI Enumeration Date: | 08/18/2005 |
| NPI Last Update Date: | 04/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | R052184 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |