Organization
JUNIORS LUXURY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAUL IZQUIERDO JR. (PRESIDENT)
(718) 690-4306
Entity
Organization
Contact information
Practice address
1509 CORTELYOU RD, BROOKLYN, NY 11226-5607
(718) 859-1111
(718) 462-6867
Mailing address
6809 3RD AVE, BROOKLYN, NY 11220-5828
(718) 940-1919
(718) 462-6867
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427612605
—
NY
Enumeration date
04/23/2019
Last updated
11/22/2022
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