Wax, Mark Richard

Wax, Mark Richard is an individual health care provider with primary practice located at 180 E Pulaski Rd , Huntington Station NY 11746-1915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wax, Mark Richard can be contacted via phone (631) 425-2175.

Contact Information

Primary practice address
180 E Pulaski Rd Huntington Station NY 11746-1915
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 182178 New York

Profile Details

NPI number 1487622114
LBN Legal business name Wax, Mark Richard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jun 28th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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