Individual
CANDICE A. WAITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
THIRD AVENUE AND 183RD STREET, BRONX, NY 10457-2594
(718) 960-9000
Mailing address
183RD & THIRD AVE, BRONX, NY 11413-2006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013092
NY
Other
Enumeration date
12/29/2008
Last updated
01/29/2009
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