SearchNew York101Y00000X

Elijah Tavarez

NPI 1326652934 · on the registry since 2020 · sole proprietor

Practice

Address
10810 Rockaway Blvd
South Ozone Park, NY 11420
Phone
(718) 845-2620

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Sex
Male
Record last updated
2020-09-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York