Algernon Anthony Stephen Waller

Driver · Melville, NY

Individual Active NPI

NPI number 1245734805

Practice location

68 S Service Rd Ste 100
Melville, NY 11747-2350
Phone
(631) 629-2493
Fax
(631) 629-6945

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NPI record

NPI
1245734805
Entity type
Individual (Type 1)
Enumeration date
March 20, 2018
Last updated
March 21, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Driver Primary 172A00000X — —

Mailing address

4 Denmark Ct
Huntington, NY 11743-4734
Phone
(631) 334-9572
Fax
(631) 629-6945

About Algernon Waller

Algernon Anthony Stephen Waller is a healthcare provider registered in the NPI registry with the primary taxonomy Driver (code 172A00000X). The practice location is 68 S Service Rd Ste 100, Melville, NY 11747-2350. The NPI number 1245734805 was assigned on March 20, 2018 and the record was last updated on March 21, 2018.

Frequently asked questions

What is the NPI number of Algernon Anthony Stephen Waller?

The NPI number is 1245734805.

What is the phone number of Algernon Waller?

The phone number listed for the practice location is (631) 629-2493.

Where is Algernon Waller located?

68 S Service Rd Ste 100, Melville, NY 11747-2350.

What is the taxonomy code for Algernon Waller?

The primary taxonomy code is 172A00000X – Driver.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.