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Individual

MR. ANDREW TAYLOR WAINWRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CASAC #20543 NYS OAS

Contact information

Practice address
SEVEN HOLLAND AVENUE, SECOND FLOOR, WHITE PLAINS, NY 10603-3317
(914) 683-8050
(914) 683-8054
Mailing address
SEVEN HOLLAND AVENUE, SECOND FLOOR, WHITE PLAINS, NY 10603-3317

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20543CASAC
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01037705
NY
Enumeration date
08/23/2011
Last updated
08/23/2011
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