Individual
SOPHIE WALDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3800 RESERVOIR RD NW STE M4200, WASHINGTON, DC 20007-2196
(202) 444-8830
Mailing address
79 SHORE DR S, COPIAGUE, NY 11726-5323
(516) 658-9053
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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