Individual provider · Type 1 NPI
Samuel Deadwyler Iii
Driver · Brooklyn, NY
NPI number
1114798758
Active
Practice location
1350 Bedford Ave Apt 3M
Brooklyn, NY 11216-5804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 511051614 (NY) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1114798758
Samuel Deadwyler Iii's National Provider Identifier is 1114798758, issued on Jan 11, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Brooklyn, NY. The record was last updated on Jan 11, 2024.