Individual
WILLIAM JOSEPH WAKED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
30 E END AVE, SUITE 1C, NEW YORK, NY 10028-7053
(212) 795-6916
Mailing address
116 PINEHURST AVE APT J52, NEW YORK, NY 10033-1755
(121) 795-6916
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
011294-1
NY
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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