Individual
MR. CESAR VALENTE GARDUQUE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
54 POLIFLY RD APT 311, HACKENSACK, NJ 07601-3295
(646) 206-1025
(201) 880-0614
Mailing address
54 POLIFLY RD APT 311, HACKENSACK, NJ 07601-3295
(646) 206-1025
(201) 880-0614
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
013016
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013016
NYSED
NY
01
—
46TR00447800
NJ STATE LICENSE
NJ
Enumeration date
04/20/2009
Last updated
04/20/2009
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