L. Arnold Wyse, M.D.
Individual provider Active NPI Psychiatry Physician · Greenwich, NY
NPI 1003095282 · NPPES record last updated Oct 24, 2007
Key facts
- NPI
- 1003095282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 93-431 (NM)
- Practice address
- 154 Stevenson Rd
Greenwich, NY 12834 - Phone
- (518) 677-8136
- NPI assigned
- Oct 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 93-431 | NM | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHHS, PHS, Naihs, Shiprock Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 93-431 | NM | Yes |
Addresses
Primary practice location
154 Stevenson Rd
Greenwich, NY 12834
Mailing address
PO Box 182
Greenwich, NY 12834-0182
Phone (518) 677-8136
Other providers in Greenwich, NY
- Frank Hiroshi Westad
- Whipple City Family Chiropractic
- White Light ABA LLC
- Gerard Wichrowski
- William J. Sarchino, DPM
All providers in Greenwich, NY · Psychiatry Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.