Individual
PAUL MICHAEL WACHTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1664 E 14TH ST FL 5, BROOKLYN, NY 11229-1155
(929) 273-7601
Mailing address
2036 80TH ST # 1F, BROOKLYN, NY 11214-1843
(718) 915-3648
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NY
175T00000X
Peer Specialist
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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