Individual
EMILE WASSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 CHAMPLIN AVE STE 1, UTICA, NY 13502
(315) 624-9004
(315) 624-9003
Mailing address
PO BOX 602, NEW HARTFORD, NY 13413-0602
(315) 624-8100
(315) 624-8105
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
207857
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01786841
—
NY
Enumeration date
06/30/2006
Last updated
10/31/2023
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