Waksmonski, Carol Ann

Waksmonski, Carol Ann is an individual health care provider with primary practice located at 622 W 168Th St , New York NY 10032-3720. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Waksmonski, Carol Ann can be contacted via phone (212) 305-9875.

Contact Information

Primary practice address
622 W 168Th St New York NY 10032-3720
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 226212 New York

Profile Details

NPI number 1902980840
LBN Legal business name Waksmonski, Carol Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Jul 8th, 2007 - about 19 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 1902980840 NPPES
New York MEDICAID 02325542

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