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NPI Code Detail

MEDICARE: MARC WALDMAN, M.D., P.C.

MEDICARE: MARC WALDMAN, M.D., P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician183880NY

General Provider Information

NPI Number : 1710253976
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARC WALDMAN, M.D., P.C.
Provider Business Mailing Address
First Line : 892 ROUTE 35
Second Line : P.O. BOX 612
City : CROSS RIVER
State : NY
Zip : 10518-1141
Country : US
Telephone Number : 914-763-6119
Fax Number :
Provider Business Practice Location Address
First Line : 892 ROUTE 35
Second Line :
City : CROSS RIVER
State : NY
Zip : 10518-1141
Country : US
Telephone Number : 914-763-6119
Fax Number :
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : DR. MARC WALDMAN
Credential : M.D.
Telephone Number : 914-763-6119
Provider Enumeration Date : 03/31/2012
Last Update Date : 03/31/2012

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Directions to “MARC WALDMAN, M.D., P.C. ” Practice Location

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