Individual
MIGUEL H JORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 125TH ST, COLLEGE POINT, NY 11356-1227
(516) 884-4940
Mailing address
307 MONROE ST STE 4-7, PASSAIC, NJ 07055-5207
(516) 884-4940
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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