Individual
STEPHEN WAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S PMHNP
Contact information
Practice address
240 E 69TH ST FL 1, NEW YORK, NY 10021-5705
(646) 962-6946
(646) 962-0174
Mailing address
240 E 69TH ST FL 1, NEW YORK, NY 10021-5705
(646) 962-6946
(646) 692-0174
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401765
NY
Other
Enumeration date
08/20/2014
Last updated
09/09/2021
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