MELVYN WILDER

NEW YORK, NY
NPI1821239955
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  18224)
Enumeration Date2009-03-19
Last Update Date2010-10-29
Business Address
Mr. MELVYN WILDER CASAC
116 JOHN ST FL 27
NEW YORK, NY 10038-3414
Phone number: 212-964-0128
Mailing Address
Mr. MELVYN WILDER CASAC
116 JOHN ST FL 27
NEW YORK, NY 10038-3414
Phone number: 212-964-0128