Santiago, Jordan

Santiago, Jordan is an individual health care provider with primary practice located at 1729 Burrstone Rd , New Hartford NY 13413-1001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Santiago, Jordan can be contacted via phone (315) 798-1527.

Contact Information

Primary practice address
1729 Burrstone Rd New Hartford NY 13413-1001
Fax: (315) 798-1589
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 035433 New York

Profile Details

NPI number 1144080268
LBN Legal business name Santiago, Jordan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2024
Last updated Apr 10th, 2026 - about 6 months 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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