Individual
MADELINE WAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 BEEKMAN ST, PLATTSBURGH, NY 12901-1438
(518) 561-2000
Mailing address
26 MAIDEN LN, PERU, NY 12972-2910
(518) 643-8766
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
187558-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01339757
—
NY
Enumeration date
07/05/2006
Last updated
07/08/2007
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