National Provider Identifier
Samuel Santiago
Samuel Santiago is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 490-5399.
Profile Overview
- NPI
- 1063822955
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 01, 2014
- Last Updated
- May 01, 2014
Practice Location
- 360 Birr St
- Rochester, NY 14613-1302
Phone: (585) 490-5399
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1063822955
- Entity Type
- Individual
- Last Name
- Santiago
- First Name
- Samuel
- Mailing Street Address
- 360 Birr St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14613-1302
- Mailing Country
- US
- Mailing Phone
- (585) 490-5399
- Practice Street Address
- 360 Birr St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14613-1302
- Practice Country
- US
- Practice Phone
- (585) 490-5399
- Enumeration Date
- May 01, 2014
- Last Updated
- May 01, 2014
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)