MR. Claude Darryl Tinnin JR., SUPERVISOR

NPI #1437975216 in New York, New York

Provider Information

NPI Number: 1437975216
Entity Type: Individual
Name: MR. Claude Darryl Tinnin JR., SUPERVISOR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Credential: SUPERVISOR
Enumeration Date: Nov 26, 2024
Last Updated: Nov 27, 2024

Practice Location

Address: 124 E 117TH ST
City: New York
State: New York
ZIP Code: 10035-4616
Phone: (646) 877-7243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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