Gatien, Wayne

Gatien, Wayne is an individual health care provider with primary practice located at 3 Grove Ave , Patchogue NY 11772-4111. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Gatien, Wayne can be contacted via phone (631) 475-7108.

Contact Information

Primary practice address
3 Grove Ave Patchogue NY 11772-4111
Phone: (631) 475-7108
Fax: (631) 475-9601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1538528351
LBN Legal business name Gatien, Wayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2016
Last updated Feb 22nd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538528351 NPPES
New York MEDICAID 17200000

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