| Laurie Waxler Csw Pc | |
|
34 Maple Ave Tarrytown NY 10591-5010 | |
| (914) 524-9646 | |
| (914) 524-9646 |
| Full Name | Laurie Waxler Csw Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 34 Maple Ave, Tarrytown, New York |
| Authorized Official Name and Position | Laurie Waxler (PRESIDENT) |
| Authorized Official Contact | 9145249646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie Waxler Csw Pc 34 Maple Ave Tarrytown NY 10591-5010 Ph: (914) 524-9646 | Laurie Waxler Csw Pc 34 Maple Ave Tarrytown NY 10591-5010 Ph: (914) 524-9646 |
| NPI Number | 1063641462 |
|---|---|
| Provider Enumeration Date | 07/07/2009 |
| Last Update Date | 07/07/2009 |
| Medicare PECOS PAC ID | 1951453786 |
|---|---|
| Medicare Enrollment ID | O20090709000071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063641462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 017430 (New York) | Primary |
| Provider Name | Laurie Waxler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578799326 PECOS PAC ID: 5597817320 Enrollment ID: I20090709000061 |
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