NPI 1053160135
Travis J Wingate
Practice location
- Address
- 3600 Route 112, Coram, NY 11727-4116
- Phone
- (631) 920-8520
- Mailing address
- 14202 20th Ave Fl 3, Flushing, NY 11351-3000
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1053160135
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 May 2024
- Record last updated
- 13 May 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.