Individual provider · Type 1 NPI

Jordan Santiago

Medical Physician Assistant · New Hartford, NY

NPI number 1144080268 Active

Practice location

1729 Burrstone Rd
New Hartford, NY 13413-1001

Call (315) 798-1527 Map

Fax (315) 798-1589

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X035433 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1144080268

Jordan Santiago's National Provider Identifier is 1144080268, issued on Mar 19, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Hartford, NY. The record was last updated on Apr 10, 2026.