NPI 1104105451

Melvin Wynne, HUMANSERVICE

Practitioner Private Vehicle Brooklyn, NY

Practice location

Address: 970 E 100th St, Brooklyn, NY 11236-4014
Phone: (347) 589-7246
Fax: (347) 405-8894

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 197829188 (NY)

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Registry record

NPI: 1104105451
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Aug 2011
Record last updated: 4 Aug 2011

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.