Individual
DR. ESTELLE B. WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
141 E 55TH ST, SUITE 9B, NEW YORK, NY 10022-4030
(212) 935-1213
Mailing address
PO BOX 7654, FDR STATION, NEW YORK, NY 10150-7654
(212) 935-1213
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4143
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004481621
AETNA
—
01
—
V1761
EMPIRE BLUECROSS BLUESHIE
NY
Enumeration date
01/09/2007
Last updated
03/09/2010
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