Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FRED RONALD WAXENBERG
Active Sole ProprietorDR. FRED RONALD WAXENBERG is a Counseling Psychologist healthcare provider located in MERRICK, New York. NPI 1700484151 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · MERRICK, NY
Registration Details
- NPI Number
- 1700484151
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2020 (5.873374099768 yrs)
- Last Updated
- Oct 22, 2020
- License
-
0006472 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3001 HEWLETT AVEMERRICK, NY, 115665312Browse NY providers · Browse ZIP 11566
- Phone
- 5169872351
- Primary Specialty
-
Counseling Psychologist
103TC1900X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.