Individual
JAMES JOHN URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11404 BEACH CHANNEL DR, ROCKAWAY PARK, NY 11694-2211
(718) 945-5555
Mailing address
125 BEACH 124TH ST APT 4H, ROCKAWAY PARK, NY 11694-1859
(646) 467-0508
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
NY
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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