Individual
DIANA WAXLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
210 WESTCHESTER AVE, WHITE PLAINS, NY 10604-2901
(914) 681-3100
(914) 682-6588
Mailing address
800 WESTCHESTER AVE, STE N715, RYE BROOK, NY 10573-1369
(914) 607-5730
(914) 457-1195
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009985
NY
Other
Enumeration date
07/20/2007
Last updated
07/29/2021
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