Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elijah Roberto Tavarez

Individual provider Counselor · NPI 1326652934

Elijah Roberto Tavarez is a Counselor in South Ozone Park, New York. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

10810 Rockaway Blvd
South Ozone Park, NY 11420
Phone: (718) 845-2620
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1326652934
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 1, 2020
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020

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