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Individual

CRISTINA WANIEK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
445 PARK AVE FL 9, NEW YORK, NY 10022-8606
(917) 892-3522
Mailing address
445 PARK AVE FL 9, NEW YORK, NY 10022-8606
(917) 892-3522

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
216254
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02137777
NY
01
A3000054887
MEDICARE PTAN
Enumeration date
07/09/2006
Last updated
01/28/2026
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