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Mr. Algernon Anthony Stephen Waller
Driver in Melville, New York
NPI 1245734805

Algernon Anthony Stephen Waller is a Driver based in Huntington, NY. Algernon Anthony Stephen Waller practices in Melville, NY. The NPI Number for Algernon Anthony Stephen Waller is 1245734805 and holds a License No. (New York).

The current practice location address for Algernon Anthony Stephen Waller is 68 S Service Rd Ste 100, Melville, NY and can be reached out via phone at 631-629-2493 and via fax at 631-629-6945.

Location: 68 S Service Rd Ste 100, Melville, NY, 11743-4734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245734805
Provider Name
Algernon Anthony Stephen Waller
Credential
Provider Entity Type
Individual
Gender
Male
Address
68 S Service Rd Ste 100, Melville, NY, 11743-4734
Phone Number
631-629-2493
Fax Number
631-629-6945
Provider Enumeration Date
03/20/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
68 S Service Rd Ste 100
City
Melville
State
New York
Zip
11747-2350
Phone Number
631-629-2493
Fax Number
631-629-6945
person
Provider Business Mailing Address Details
Address
68 S Service Rd Ste 100
City
Melville
State
New York
Zip
11747-2350
Phone Number
631-629-2493
Fax Number
631-629-6945
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
()
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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