Provider Demographics
NPI:1184369159
Name:QUASHIE, WAYNE (CNS, AOCNS, ACNS-BC)
Entity type:Individual
Prefix:
First Name:WAYNE
Middle Name:
Last Name:QUASHIE
Suffix:
Gender:M
Credentials:CNS, AOCNS, ACNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:452 QUINCY ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11221-1244
Mailing Address - Country:US
Mailing Address - Phone:347-678-7119
Mailing Address - Fax:
Practice Address - Street 1:1275 YORK AVENUE,
Practice Address - Street 2:MEMORIAL 4 NURSING STATION
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:212-639-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY486243364SA2200X, 364SX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health