Provider Demographics
NPI:1033219571
Name:SANTIAGO, ARAMIS EWON (MD)
Entity type:Individual
Prefix:DR
First Name:ARAMIS
Middle Name:EWON
Last Name:SANTIAGO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25401 41ST AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11363-1709
Mailing Address - Country:US
Mailing Address - Phone:718-229-6397
Mailing Address - Fax:718-279-9503
Practice Address - Street 1:3765 RIVERDALE AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-1845
Practice Address - Country:US
Practice Address - Phone:718-601-2700
Practice Address - Fax:718-601-9890
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY217064207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH34406Medicare UPIN