Provider Demographics
NPI:1508000548
Name:SANTIAGO, SYLVIA P (MS ED, TSHH)
Entity Type:Individual
Prefix:MS
First Name:SYLVIA
Middle Name:P
Last Name:SANTIAGO
Suffix:
Gender:F
Credentials:MS ED, TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 BEDFORD PARK BLVD
Mailing Address - Street 2:APT#6A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-2431
Mailing Address - Country:US
Mailing Address - Phone:917-734-6967
Mailing Address - Fax:
Practice Address - Street 1:311 BEDFORD PARK BLVD
Practice Address - Street 2:APT#6A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-2431
Practice Address - Country:US
Practice Address - Phone:917-734-6967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X, 2355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
No174400000XOther Service ProvidersSpecialist