Individual
MR. CLAUDE DARRYL TINNIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUPERVISOR
Contact information
Practice address
124 E 117TH ST, NEW YORK, NY 10035-4616
(646) 877-7243
Mailing address
124 E 117TH ST APT 3P, NEW YORK, NY 10035-4640
(646) 877-7243
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
11/26/2024
Last updated
11/27/2024
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