Individual
DR. WAYNE L DEBEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 N BROADWAY, SLEEPY HOLLOW, NY 10591-1020
(914) 366-3000
Mailing address
3725 BLACKSTONE AVE APT 4G, BRONX, NY 10463-1444
(860) 965-4749
(888) 768-5042
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
262221
NY
Other
Enumeration date
07/11/2008
Last updated
11/17/2022
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