Individual
FERNANDO A URAGA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1731 GROVE ST, RIDGEWOOD, NY 11385-2155
(347) 262-1638
Mailing address
1731 GROVE STREET, RIDGEWOOD, NY 11385
(347) 262-1638
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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