Individual
MILTON WALDRON MAYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
160 LAWRENCE AVE, BROOKLYN, NY 11230-1103
(718) 436-7979
Mailing address
611 LINWOOD ST, BROOKLYN, NY 11208-3521
(917) 584-8242
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
599576121
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5353
UCP
NY
Enumeration date
06/04/2018
Last updated
06/04/2018
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