SearchNew York172A00000X

Samuel Deadwyler

NPI 1114798758 · on the registry since 2024

Practice

Address
1350 Bedford Ave Apt 3m
Brooklyn, NY 11216
Phone
(516) 451-4155

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York