Mr. Algernon Anthony Stephen Waller
Mr. Algernon Anthony Stephen Waller is a Driver in Melville, New York. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
68 S Service Rd Ste 100Melville, NY 11747-2350
Phone: (631) 629-2493
Fax: (631) 629-6945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|
Record details
| NPI number | 1245734805 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 20, 2018 |
| Last updated in NPPES | March 21, 2018 |