MIGUEL BLACK

Driver

Active Individual
NPI: 1659035996

Practice Address

5 LAIDLAW AVE APT 105
Jersey City, NJ 07306

Phone: (646) 578-0037

Specialties

Specialty Code Primary License
Driver 172A00000X Yes B50095470001842 (NJ)
Transportation Network Company 342000000X No B50095470001842 (NJ)
Non-emergency Medical Transport (VAN) 343900000X No B50095470001842 (NJ)
Private Vehicle 347C00000X No B50095470001842 (NJ)
Transportation Broker 347E00000X No B50095470001842 (NJ)

Frequently Asked Questions

NPI 1659035996 is the National Provider Identifier for MIGUEL BLACK, a Driver provider located in Jersey City, NJ. This NPI was enumerated on October 22, 2021.
MIGUEL BLACK practices at 5 LAIDLAW AVE APT 105, Jersey City, NJ 07306.

Quick Facts

NPI
1659035996
Type
Individual
Enumerated
Oct 22, 2021
Last Updated
Oct 22, 2021

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