Individual
LINDA C WAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
175 E 96TH ST, 21R, NEW YORK, NY 10128-6200
(917) 940-8686
Mailing address
175 E 96TH ST, 21R, NEW YORK, NY 10128-6200
(917) 940-8686
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000185
NY
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
194736-1
NY
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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