Individual
JOSEPH P SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
72 MOUNT VERNON AVE APT A-4, PATCHOGUE, NY 11772-1317
(561) 801-5054
Mailing address
72 MOUNT VERNON AVE APT A-4, PATCHOGUE, NY 11772-1317
(561) 801-5054
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
NY
Other
Enumeration date
12/07/2023
Last updated
12/09/2023
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