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Individual

MR. RAFAEL ELIZARDO FILPO SEGURA I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2322 ARTHUR AV SUITE 212A, BRONX, NY 10458
(718) 325-7071
Mailing address
2322 ARTHUR AV SUITE 212A, BRONX, NY 10458
(718) 325-7071

Taxonomy

Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
B03181
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05446479
NY
Enumeration date
01/10/2022
Last updated
01/10/2022
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