Organization
WAVE USA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF MICHEL (CEO)
(929) 523-4249
Entity
Organization
Contact information
Practice address
316 E 149TH ST STE 11, BRONX, NY 10451-5602
(866) 262-5756
Mailing address
929 E 224TH ST, BRONX, NY 10466-4603
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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