# JERRY C. WACHTEL M.D.,P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750341301
- **Authorized official:** JERRY C. WACHTEL M.D. (PRESIDENT)
- **Authorized official phone:** (718) 257-1500

## Contact information

- **Practice address:** 8605 FLATLANDS AVE, BROOKLYN, NY 11236-3607
- **Practice address phone:** (718) 257-1500
- **Practice address fax:** (718) 257-6114
- **Mailing address:** 8605 FLATLANDS AVE, BROOKLYN, NY 11236-3607
- **Mailing address phone:** (718) 257-1500
- **Mailing address fax:** (718) 257-6114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 161249 | NY | Yes |

## Other

- **Enumeration date:** 03/27/2006
- **Last updated:** 06/23/2008