Humberto Tavarez

NPI #1942708623 in Copiague, New York

Provider Information

NPI Number: 1942708623
Entity Type: Individual
Name: Humberto Tavarez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Jan 26, 2018
Last Updated: Jan 26, 2018

Practice Location

Address: 212 TROUVILLE RD
City: Copiague
State: New York
ZIP Code: 11726-3002
Phone: (631) 918-3533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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