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NPI Code Detail

MEDICARE: INCLUSIVE INSURANCE AGENCY INC.

MEDICARE: INCLUSIVE INSURANCE AGENCY INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251X00000XSupports Brokerage Agency
2251B00000XCase Management Agency

General Provider Information

NPI Number : 1174481543
Entity Type Code : Organization
Provider Name (Legal Business Name) : INCLUSIVE INSURANCE AGENCY INC.
Provider Business Mailing Address
First Line : 3418 NORTHERN BLVD FL 4
Second Line : #45
City : LONG ISLAND CITY
State : NY
Zip : 11101-2236
Country : US
Telephone Number : 646-334-1143
Fax Number :
Provider Business Practice Location Address
First Line : 3418 NORTHERN BLVD FL 4
Second Line : #45
City : LONG ISLAND CITY
State : NY
Zip : 11101-2236
Country : US
Telephone Number : 646-334-1143
Fax Number :
Authorized Official
Title or Position : PRINCIPAL AND FOUNDER
Name : EMILIA TAVAREZ
Credential : CMIP
Telephone Number : 646-334-1143
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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