Individual
JOSE GARCIA MADERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 DRUM RD RM D113, STATEN ISLAND, NY 10305-5001
(718) 354-4208
(718) 354-4415
Mailing address
215 DRUM RD RM D113, STATEN ISLAND, NY 10305-5001
(718) 354-4208
(718) 354-4415
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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