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Individual

DR. CATHERINE MIRIAM WANKO-NEWMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
96 STATE ROUTE 302, PINE BUSH, NY 12566-7102
(845) 744-3966
(845) 744-3966
Mailing address
96 STATE ROUTE 302, PINE BUSH, NY 12566-7102
(845) 744-3966
(845) 744-3966

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012789
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01677009
NY
Enumeration date
02/19/2007
Last updated
07/08/2007
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