Individual provider · Type 1 NPI

Yezid Moudachirou

Driver · Brooklyn, NY

NPI number 1003764549 Active

Practice location

473 Bergen St Apt 1
Brooklyn, NY 11217-4041

Call (347) 796-2577 Map

Fax (347) 778-5933

Mailing address

1433 E 104th St
Brooklyn, NY 11236-4515

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X472920251 (NY)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1003764549

Yezid Moudachirou's National Provider Identifier is 1003764549, issued on Mar 19, 2026. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Brooklyn, NY. The record was last updated on Mar 19, 2026.