Individual
MRS. KEIKO TSUTAKI WAHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(646) 946-7074
(212) 427-8600
Mailing address
1 GUSTAVE LEVY PL, NEW YORK, NY 10029
(212) 241-5600
(212) 427-8600
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307450-1
NY
Other
Enumeration date
09/22/2015
Last updated
11/21/2016
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