Individual
DAVID WAXMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2201 HEMPSTEAD TURNPIKE, NASSAU UNIVERSITY MEDICAL CENTER, EAST MEADOW, NY 11554
(516) 572-6511
(516) 572-3210
Mailing address
14 RUSSEL DR, MINEOLA, NY 11501-4741
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
010106
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010106
LICENSE NUMBER
NY
Enumeration date
10/26/2006
Last updated
07/08/2007
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