Waxman, Randi
Waxman, Randi is an sole proprietor health care provider with primary practice located at 124 Merrick Ave Suite #7, Merrick NY 11566-3434. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Waxman, Randi can be contacted via phone (516) 868-8867.Contact Information
Primary practice address
124 Merrick Ave Suite #7
Merrick NY 11566-3434
Phone: (516) 868-8867
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 071590 | New York |
Profile Details
| NPI number | 1912061268 |
|---|---|
| LBN Legal business name | Waxman, Randi |
| Credentials | LCSW-R |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2006 |
| Last updated | Apr 2nd, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912061268 | NPPES |
| New York | Other | 071590 | LCSW |
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