Provider Demographics
NPI:1427181684
Name:KAMAIKO-SOLANO, WENDY DETA (DSW)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:DETA
Last Name:KAMAIKO-SOLANO
Suffix:
Gender:F
Credentials:DSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 CHITTENDEN AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-1142
Mailing Address - Country:US
Mailing Address - Phone:212-927-1513
Mailing Address - Fax:212-927-2341
Practice Address - Street 1:295 CENTRAL PARK W
Practice Address - Street 2:SUITE 2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3008
Practice Address - Country:US
Practice Address - Phone:212-579-6405
Practice Address - Fax:212-927-2341
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY02209101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health