ALGERNON ANTHONY STEPHEN WALLER

MELVILLE, NY
NPI1245734805
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172A00000X Driver
Enumeration Date2018-03-20
Last Update Date2018-03-21
Business Address
Mr. ALGERNON ANTHONY STEPHEN WALLER
68 S SERVICE RD STE 100
MELVILLE, NY 11747-2350
Phone number: 631-629-2493
Mailing Address
Mr. ALGERNON ANTHONY STEPHEN WALLER
4 DENMARK CT
HUNTINGTON, NY 11743-4734
Phone number: 631-334-9572