Individual
PORFIRIO GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 E TREMONT AVE, BRONX, NY 10460-4355
(718) 328-8080
(347) 498-1751
Mailing address
900 E TREMONT AVE, BRONX, NY 10460-4355
(718) 328-8080
(347) 498-1751
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B00457
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04009674
—
NY
Enumeration date
07/29/2016
Last updated
07/29/2016
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