Individual
DANA JEAN WAXENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 E 85TH ST, NEW YORK, NY 10028-3108
(646) 962-7300
Mailing address
215 E 85TH ST, NEW YORK, NY 10028-3108
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
028308
NY
Other
Enumeration date
04/19/2022
Last updated
07/09/2024
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