Individual
MR. JOHN WARREN WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
50 W HAWTHORNE AVE, VALLEY STREAM, NY 11580-6220
(347) 279-5517
Mailing address
10819 ROCKAWAY BLVD, SOUTH OZONE PARK, NY 11420-1034
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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