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MRS. CAROL ANN WAXMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPAC

Contact information

Practice address
4504 STATE ROUTE 55, SWAN LAKE, NY 12783
(845) 292-6875
(845) 292-4873
Mailing address
108 HALL ROAD, GRAHAMSVILLE, NY 12740-9749
(845) 985-7304

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0018351
NY

Other

Enumeration date
07/24/2006
Last updated
07/08/2007
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