NPI 1942708623

Humberto Tavarez

Practitioner Driver Copiague, NY

Practice location

Address: 212 Trouville Rd, Copiague, NY 11726-3002
Phone: (631) 918-3533

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1942708623
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jan 2018
Record last updated: 26 Jan 2018

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.