Waite, Douglas

Waite, Douglas is an sole proprietor health care provider with primary practice located at 1650 Grand Concourse , Bronx NY 10457. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is his primary health care specialty. Waite, Douglas can be contacted via phone (718) 992-7669.

Contact Information

Primary practice address
1650 Grand Concourse Bronx NY 10457
Phone: (718) 992-7669
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 194142 New York
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 194142 New York

Profile Details

NPI number 1154496057
LBN Legal business name Waite, Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2006
Last updated Jun 3rd, 2022 - about 4 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 1154496057 NPPES
New York MEDICAID 01566343

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