FRED RONALD WAXENBERG

MERRICK, NY
NPI1700484151
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC1900X Psychologist, Counseling
(Licence: NY  0006472)
Enumeration Date2020-10-16
Last Update Date2020-10-22
Business Address
Dr. FRED RONALD WAXENBERG
3001 HEWLETT AVE
MERRICK, NY 11566-5312
Phone number: 516-987-2351
Mailing Address
Dr. FRED RONALD WAXENBERG
3001 HEWLETT AVE
MERRICK, NY 11566-5312
Phone number: 516-987-2351