Individual
MS. JOAN-ALICE WAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1225 GERARD AVE, BRONX, NY 10452-8001
(718) 960-2777
(718) 960-2619
Mailing address
3925 202ND ST, BAYSIDE, NY 11361-1838
(718) 731-6347
(718) 960-2619
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F 380441-1
NY
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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