Provider Demographics
NPI:1629357561
Name:MAJDANSKI, WALDEMAR (DPM)
Entity Type:Individual
Prefix:
First Name:WALDEMAR
Middle Name:
Last Name:MAJDANSKI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9412 CHURCH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-1646
Mailing Address - Country:US
Mailing Address - Phone:718-495-3668
Mailing Address - Fax:718-495-3665
Practice Address - Street 1:9412 CHURCH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-1646
Practice Address - Country:US
Practice Address - Phone:718-495-3668
Practice Address - Fax:718-495-3665
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-10
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006577213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist