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Organization
TRANSITION WELLNESS
Active
Organization
TRANSITION WELLNESS
Active
Other names
Transition Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE E WAHNE PMHNP-BC (OWNER)
(631) 493-7636
Entity
Organization
Contact information
Practice address
122 W ROE BLVD, PATCHOGUE, NY 11772-2569
(631) 493-7636
Mailing address
15 NEW MILL RD, SMITHTOWN, NY 11787-3323
(631) 493-7636
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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