Waxner, Jonathan M.
Waxner, Jonathan M. is an individual health care provider with primary practice located at 233 E Shore Rd #112, Great Neck NY 11023-2433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Waxner, Jonathan M. can be contacted via phone (516) 482-7810.Contact Information
Primary practice address
233 E Shore Rd #112
Great Neck NY 11023-2433
Phone: (516) 482-7810
Fax: (516) 482-3760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 188107 | New York |
Profile Details
| NPI number | 1306884192 |
|---|---|
| LBN Legal business name | Waxner, Jonathan M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1306884192 | NPPES |
| New York | MEDICAID | 01610246 |
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