Individual
DR. AMY MICHELLE WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19 BRADHURST AVE, SUITE 3070N, HAWTHORNE, NY 10532-2140
(914) 372-7887
(914) 372-7884
Mailing address
19 BRADHURST AVE, SUITE 3070N, HAWTHORNE, NY 10532-2140
(914) 372-7887
(914) 372-7884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
239748
MA
207RR0500X
Rheumatology Physician
Primary
278234
NY
207RR0500X
Rheumatology Physician
A97716
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110082710A
—
MA
Enumeration date
03/01/2009
Last updated
03/26/2015
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