ANTAEUS T WALLER

LONG ISLAND CITY, NY
NPI1659233344
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  996271)
Enumeration Date2025-12-01
Last Update Date2025-12-01
Business Address
ANTAEUS T WALLER
2811 QUEENS PLZ N
LONG ISLAND CITY, NY 11101-4172
Phone number: 718-391-8300
Mailing Address
ANTAEUS T WALLER
20983 WHITEHALL TER
QUEENS VILLAGE, NY 11427-1722
Phone number: 718-581-6102
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