Individual
TITO P RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8684 208TH ST APT 1B, QUEENS VILLAGE, NY 11427-1651
(702) 355-3791
Mailing address
8684 208TH ST APT 1B, QUEENS VILLAGE, NY 11427-1651
(702) 355-3791
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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