Individual
DR. MELISSA PITTEL WASSERSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GUSTAVE L LEVY PL, BOX 1497, NEW YORK, NY 10029-6500
(212) 241-2478
Mailing address
79 FERDON AVE, SPARKILL, NY 10976-1301
(845) 365-9767
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
194048
NY
207SG0202X
Clinical Biochemical Genetics Physician
Primary
194048
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1858704
—
NY
Enumeration date
05/04/2006
Last updated
04/13/2011
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