Organization
SANFORD RADIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WAXMAN MD (OWNER)
(917) 747-8626
Entity
Organization
Contact information
Practice address
6243 WOODHAVEN BLVD, REGO PARK, NY 11374-3731
(718) 507-4700
Mailing address
6243 WOODHAVEN BLVD, REGO PARK, NY 11374-3731
(718) 507-4700
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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