National Provider Identifier

Jason A Santiago, PA

Jason A Santiago, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Amherst, NY and a listed phone number of (716) 250-2000.

NPI 1568450989Amherst, NYPhysician Assistant

Profile Overview

NPI
1568450989
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
October 10, 2005
Last Updated
July 08, 2007

Practice Location

  • 3980 Sheridan Dr
  • Suite 200
  • Amherst, NY 14226-1727

Phone: (716) 250-2000

Mailing Address

  • 3980 Sheridan Dr
  • Suite 600
  • Amherst, NY 14226-1727

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1568450989
Entity Type
Individual
Last Name
Santiago
First Name
Jason
Middle Name
A
Name Prefix
Mr.
Credential
PA
Mailing Street Address
3980 Sheridan Dr
Mailing Address Line 2
Suite 600
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-1727
Mailing Country
US
Mailing Phone
(716) 250-2000
Mailing Fax
(716) 250-2040
Practice Street Address
3980 Sheridan Dr
Practice Address Line 2
Suite 200
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-1727
Practice Country
US
Practice Phone
(716) 250-2000
Practice Fax
(716) 636-1365
Enumeration Date
October 10, 2005
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
061018000088 (NY, Fidelis), 9512962 (NY, Independent Health)