Organization
TRACY LUXURY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARI CARMEN RIVERA (PRESIDENT)
(347) 907-0505
Entity
Organization
Contact information
Practice address
4861 BROADWAY, NEW YORK, NY 10034-3102
(347) 907-0505
Mailing address
4861 BROADWAY, NEW YORK, NY 10034-3102
(347) 907-0505
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
09/10/2020
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