Individual
MARC WALDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9020 ELMHURST AVE, JACKSON HEIGHTS, NY 11372-7936
(718) 397-9800
(718) 397-0731
Mailing address
9020 ELMHURST AVE, JACKSON HEIGHTS, NY 11372-7936
(718) 397-9800
(718) 397-0731
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004922
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
N004922
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01524478
—
NY
Enumeration date
03/01/2006
Last updated
06/16/2008
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