Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GIANCARLO SANTIAGO RODRIGUEZ, MD
ActiveDental Public Health · NEW HARTFORD, NY
Registration Details
- NPI Number
- 1306536180
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2023 (2.9361560513577 yrs)
- Last Updated
- Mar 2, 2026
- License
-
065302-01 (NY)
Practice Information
- Address
-
2 ELLINWOOD DRNEW HARTFORD, NY, 134131102Browse NY providers · Browse ZIP 13413
- Phone
- 3153160073
- Primary Specialty
-
Dental Public Health
1223D0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.