Individual
DR. JONATHAN MILLER WACHTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34 S BROADWAY STE 702, WHITE PLAINS, NY 10601-4427
(914) 428-8563
(914) 686-0933
Mailing address
34 S BROADWAY STE 702, WHITE PLAINS, NY 10601-4427
(914) 428-8563
(914) 686-0933
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
303103
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
303103
NY
Other
Enumeration date
04/03/2017
Last updated
03/16/2023
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