Individual
MR. JORGE NICOLAS TUQUINAGUI SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 CLARK PL, MAHOPAC, NY 10541-4706
(845) 490-8080
(845) 621-5939
Mailing address
25 CLARK PL, MAHOPAC, NY 10541-4706
(845) 490-8080
(845) 621-5939
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
234620879
NY
344600000X
Taxi
Primary
672765116
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344600000X
—
NY
Enumeration date
09/05/2014
Last updated
09/05/2014
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