Stephanie Lee Waldman, PA-C
Physician Assistant in Bronx, NY. Individual provider (NPI-1).
NPI number1982205977
StatusActive
Last updated in NPPESNov 5, 2020
Details
- NPI
- 1982205977
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Lee Waldman
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 5, 2020
- Certification date
- Nov 5, 2020
- Last updated
- Nov 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 025901 | NY | Yes |
Practice location
234 E 149th StBronx, NY 10451-5504
Phone 718-579-5000
Mailing address
1059 Union St Apt 3bBrooklyn, NY 11225-1269
Phone 434-334-8493
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