Individual
KHUZAMA MOUGHAWECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 HALLADAY AVE, FL2, YONKERS, NY 10701-5225
(914) 751-8814
Mailing address
104 HALLADAY AVE, FL2, YONKERS, NY 10701-5225
(914) 751-8814
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
00018-16
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04404477
—
NY
Enumeration date
10/27/2016
Last updated
10/27/2016
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