SCOTT WILLIAM WADE

BELLPORT, NY
NPI1235695149
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  331303)
Enumeration Date2019-02-15
Last Update Date2019-02-15
Business Address
Mr. SCOTT WILLIAM WADE LPN
29 CIRCUIT RD
BELLPORT, NY 11713-2903
Phone number: 914-258-7851
Mailing Address
Mr. SCOTT WILLIAM WADE LPN
29 CIRCUIT RD
BELLPORT, NY 11713-2903
Phone number: 914-258-7851