Individual
JONATHAN MICHAEL WAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
139 CENTRE ST STE 315, NEW YORK, NY 10013-4554
(914) 712-8523
Mailing address
139 CENTRE ST STE 315, NEW YORK, NY 10013-4554
(914) 712-8523
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
279564
NY
Other
Enumeration date
04/04/2013
Last updated
06/16/2020
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