Provider Demographics
NPI:1053662676
Name:PICHARDO, BRIGIDO JOSE (TAXI TRANSPORTATION)
Entity Type:Individual
Prefix:MR
First Name:BRIGIDO
Middle Name:JOSE
Last Name:PICHARDO
Suffix:
Gender:M
Credentials:TAXI TRANSPORTATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 MARNE RD
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14215-3611
Mailing Address - Country:US
Mailing Address - Phone:716-603-0609
Mailing Address - Fax:
Practice Address - Street 1:71 MARNE RD
Practice Address - Street 2:LOWER
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14215-3611
Practice Address - Country:US
Practice Address - Phone:716-603-0609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-21
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY301642084344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi