Individual
MR. JAMEN ARMENDARIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
4009 76TH ST, ELMHURST, NY 11373-1033
(718) 292-4300
Mailing address
4009 76TH ST, ELMHURST, NY 11373-1033
(718) 292-4300
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
019408-1
NY
Other
Enumeration date
04/14/2015
Last updated
04/14/2015
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