Travis J Wingate
Travis J Wingate is a Day Training/Habilitation Specialist in Coram, New York. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
3600 Route 112Coram, NY 11727-4116
Phone: (631) 920-8520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Day Training/Habilitation Specialist (primary) | Taxonomy 373H00000X |
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Record details
| NPI number | 1053160135 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 13, 2024 |
| Last updated in NPPES | May 13, 2024 |
| Certification date | May 13, 2024 |
| Mailing address | 14202 20th Ave Fl 3, Flushing, NY 11351-3000 |