Individual
ELIZABETH WASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
73-75 LENOX AVENUE, NEW YORK, NY 10026-9998
(212) 663-1596
Mailing address
73-75 LENOX AVENUE, NEW YORK, NY 10026-9998
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/28/2013
Last updated
10/28/2013
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