Individual
WILFREDO DECELIN CONTRERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
127 FREDERICK ST, CORTLANDT MANOR, NY 10567-1626
(914) 334-2782
Mailing address
127 FREDERICK ST, CORTLANDT MANOR, NY 10567-1626
(914) 334-2782
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
100598843
NY
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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