DR. BRYAN NEIL WAXMAN D.D.S. NPI 1669797155

NPI Information

  • NPI: 1669797155
  • Provider Name: DR. BRYAN NEIL WAXMAN, D.D.S.
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: STONY BROOK UNIVERSITY HOSPITAL
    100 NICOLLS ROAD
    STONY BROOK, NY
    ZIP 11794
  • Phone: (631) 444-6000

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NPI Details

DR. Bryan Neil Waxman, D.D.S. is a student in an organized health care education training program in Stony Brook, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Bryan Neil Waxman, D.D.S. NPI is 1669797155. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

STONY BROOK UNIVERSITY HOSPITAL
100 NICOLLS ROAD
STONY BROOK, NY
ZIP 11794-001
Phone: (631) 444-6000

The enumeration date for this NPI number is 3/29/2010 and was last updated on 3/29/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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