Waxman, Bruce Edward

Waxman, Bruce Edward is an individual health care provider with primary practice located at 19 Baker Ave Ste. 203, Poughkeepsie NY 12601-1370. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Waxman, Bruce Edward can be contacted via phone (845) 471-2243.

Contact Information

Primary practice address
19 Baker Ave Ste. 203 Poughkeepsie NY 12601-1370
Phone: (845) 471-2243
Fax: (845) 298-7750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N03143 New York

Profile Details

NPI number 1700957487
LBN Legal business name Waxman, Bruce Edward
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated May 20th, 2016 - about 8 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1700957487 NPPES
New York MEDICAID 00671265

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