Individual
MRS. ROBYN JILL WAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
70 RODEO DR, SYOSSET, NY 11791-2210
(516) 426-9598
(516) 364-0314
Mailing address
70 RODEO DR, SYOSSET, NY 11791-2210
(516) 426-9598
(516) 364-0314
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
021935-1
NY
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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