NICHOLAS DEWALT

NEW YORK, NY
NPI1104624881
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-03-06
Last Update Date2025-03-06
Business Address
NICHOLAS DEWALT
630 W 168TH ST
NEW YORK, NY 10032-3725
Phone number: 212-305-3595
Mailing Address
NICHOLAS DEWALT
630 W 168TH ST
NEW YORK, NY 10032-3725
Phone number: