Individual
MR. CARLOS TIBERIO SIMBANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8006 101ST AVE, OZONE PARK, NY 11416-1939
(718) 659-5501
(718) 848-2622
Mailing address
8006 101 AVENUE, OZONE PARK, NY 11416
(718) 659-5501
(718) 848-2622
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
B02903
NY
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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