Individual
ELIZABETH A WALDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
270 PARK AVE, HUNTINGTON HOSPITAL EMERGENCY DEPARTMENT, HUNTINGTON, NY 11743-2787
(631) 760-2126
Mailing address
270 PARK AVE, HUNTINGTON HOSPITAL EMERGENCY DEPARTMENT, HUNTINGTON, NY 11743-2787
(631) 351-2237
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014625
NY
363A00000X
Physician Assistant
MA053934
PA
363A00000X
Physician Assistant
PA001136
ME
Other
Enumeration date
08/21/2008
Last updated
12/16/2015
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