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Individual

DR. MILTON LEONARD WAINBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
145 W 86TH ST, 1B, NEW YORK, NY 10024
(212) 543-6175
(212) 543-5962
Mailing address
2628 BROADWAY, 15A, NEW YORK, NY 10025
(212) 543-6175
(212) 543-5962

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
196535
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NYS-196535
NEW YORK STATE LICENSE
NY
Enumeration date
01/05/2007
Last updated
05/17/2010
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