Individual
SAMUEL WAXMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1150 5TH AVE, NEW YORK, NY 10128-0724
(212) 289-2828
(212) 860-9134
Mailing address
1150 5TH AVE, NEW YORK, NY 10128-0724
(212) 289-2828
(212) 860-9134
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
092748
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277651
BLUE CROSS PIN
NY
Enumeration date
07/08/2005
Last updated
07/09/2007
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