Wade Hathaway, LCSW

NPI 1295742724 · on the registry since 2006

Practice

Address: 130 W Kingsbridge Rd
5b-09-C, Jj Peters Vamc,
Bronx, NY 10468
Phone: (718) 584-9000
Fax: (718) 741-4709
Organisation at this address: Va Bronx
Bronx Vamc
Bronx Vamc
Bronx Vamc
James J Peters
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 570

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-01-12

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