| Doctor Name: | MR. LAWRENCE WAXMAN |
| NPI Number: | 1033491303 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPA-C |
| License Number: | 008930 |
| Business Practice Address: | 10 Union Square East Suite 3m Ny, NY - 10003 |
| Business Phone Number: | 2124202494 |
| Business Fax Number: | |
| Mailing Address: | 10 Union Square East, Suite 3m NY |
| State: | NY |
| Postal Code: | 10003 |
| Phone Number: | 2124202494 |
| Fax Number: | |
| NPI Enumeration Date: | 09/13/2011 |
| NPI Last Update Date: | 09/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 008930 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |