Search › New York › 103TC1900X
Fred Waxenberg
NPI 1700484151 · on the registry since 2020 · sole proprietor
Practice
- Address
- 3001 Hewlett Ave
Merrick, NY 11566 - Phone
- (516) 987-2351
Registry record
- Primary taxonomy
- 103TC1900X
103TC1900X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York