MR. SAMUEL DEADWYLER III
NPI 1114798758
Driver in Brooklyn, NY
- Individual
- Male
- Driver
About SAMUEL DEADWYLER
This page provides the complete NPI Profile along with additional information for Samuel Deadwyler, a provider established in Brooklyn, New York with a medical specialization in Driver. The healthcare provider is registered in the NPI registry with number 1114798758 assigned on January 2024. The practitioner's primary taxonomy code is 172A00000X with license number 511051614 (NY). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1114798758 Verify this NPI
- Provider Name
- MR. SAMUEL DEADWYLER III
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1350 BEDFORD AVE APT 3M BROOKLYN, NY 11216
- Location Phone
- (516) 451-4155
- Mailing Address
- 1350 BEDFORD AVE APT 3M BROOKLYN, NY 11216
- Mailing Phone
- (516) 451-4155
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-11-2024
- Last Update Date
- 01-11-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Driver
- Taxonomy Code
- 172A00000X
- Type
- Other Service Providers
- License No.
- 511051614
- License State
- NY
- Taxonomy Description
- A person employed to operate a motor vehicle as a carrier of persons or property.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114798758, enumerated as an "individual" on January 11, 2024.
The provider is located at 1350 BEDFORD AVE APT 3M BROOKLYN, NY 11216 and the phone number is (516) 451-4155.
Driver with taxonomy code 172A00000X.
