Santiago, Emaus Brendan

Santiago, Emaus Brendan is an individual health care provider with primary practice located at 76-55 Austin Street , Forest Hills NY 11375. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Santiago, Emaus Brendan can be contacted via phone (718) 897-2228.

Contact Information

Primary practice address
76-55 Austin Street Forest Hills NY 11375
Phone: (718) 897-2228
Fax: (718) 897-2251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9103810 Florida
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 009826 New York

Profile Details

NPI number 1437210887
LBN Legal business name Santiago, Emaus Brendan
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Nov 14th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437210887 NPPES
Florida Other PA9103810 STATE LICENSE

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