Provider Information for 1659381994
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Mr. WAYNE MICHAEL BARNSTONE lcsw-r
Sex: Male
NPI: 1659381994
Last Updated: 2014-07-07
Certification Date:
Certification Date:
Details
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NPI | 1659381994 | ||||||||
Enumeration Date | 2006-08-09 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 9 RAWLINGS DR MELVILLE, NY 11747-4010 United States Phone: 631-643-6480 | Fax: | ||||||||
Primary Practice Address | 11 ROUTE 111 SMITHTOWN, NY 11787-3712 United States Phone: 631-920-8300 | Fax: | ||||||||
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