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Individual

WARESH RAGHUBIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
EMT-B

Contact information

Practice address
10445 111TH ST, SOUTH RICHMOND HILL, NY 11419-2415
(917) 396-6012
Mailing address
10445 111TH ST, SOUTH RICHMOND HILL, NY 11419-2415
(917) 396-6012

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
464004
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
464004
NEW YORK STATE DEPARTMENT OF HEALTH
NY
Enumeration date
04/07/2021
Last updated
04/07/2021
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