NPI 1750104386

Raymond Tavarez, REPAIRTECHNICIAN

Practitioner Contractor Valley Stream, NY

Practice location

Address: 18 Everett St, Valley Stream, NY 11580-2221
Phone: (631) 704-6212

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

Other Contractor providers in New York →

Registry record

NPI: 1750104386
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Nov 2024
Record last updated: 4 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.