Waldman, Marc

Waldman, Marc is an sole proprietor health care provider with primary practice located at 9020 Elmhurst Ave , Jackson Heights NY 11372-7936. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Waldman, Marc can be contacted via phone (718) 397-9800.

Contact Information

Primary practice address
9020 Elmhurst Ave Jackson Heights NY 11372-7936
Phone: (718) 397-9800
Fax: (718) 397-0731
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N004922 New York
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X N004922 New York

Profile Details

NPI number 1366419236
LBN Legal business name Waldman, Marc
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2006
Last updated Jun 16th, 2008 - about 18 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 1366419236 NPPES
New York MEDICAID 01524478

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