Search › New York › 171100000X
Wagner Mello
NPI 1659810190 · on the registry since 2017 · sole proprietor
Practice
- Address
- 30 E. 49th St Penthouse
New York, NY 10016 - Phone
- (631) 404-7073
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 363L00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-11-07
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