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Organization

4TH AVE GARDEN CITY PARK CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD CASTRO (PRESIDENT)
(516) 876-8667
Entity
Organization

Contact information

Practice address
250 GRAND BLVD, WESTBURY, NY 11590-3541
(516) 876-8667
(516) 876-8828
Mailing address
250 GRAND BLVD, WESTBURY, NY 11590-3541
(516) 876-8667
(516) 876-8828

Taxonomy

Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
NY

Other

Enumeration date
02/04/2017
Last updated
02/04/2017
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