Individual
CAROLYN MARIE WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
525 E 68TH ST STE F-763B, NEW YORK, NY 10065-4870
(212) 746-5246
Mailing address
525 E 68TH ST # 287, NEW YORK, NY 10065-4870
(127) 462-1272
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
028494
NY
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
05/08/2023
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