Search › New York › 101YA0400X
Wayne Booker, CASAC-T
NPI 1477281525 · on the registry since 2022 · sole proprietor
Practice
- Address
- 2976 Northern Blvd Fl 2
Long Island City, NY 11101 - Phone
- (212) 691-7554
- Organisation at this address
- The Fortune Society
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 102
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York