Individual
MR. LAWRENCE WAXMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
5500 MERRICK RD, MASSAPEQUA, NY 11758-6231
(516) 795-3033
Mailing address
5500 MERRICK RD, MASSAPEQUA, NY 11758-6231
(516) 795-3033
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
008930
NY
Other
Enumeration date
09/13/2011
Last updated
06/22/2016
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