Individual
KAREN M WESSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1010 NORTHERN BLVD, SUITE 120, GREAT NECK, NY 11021-5317
(516) 829-0050
(516) 829-0052
Mailing address
1010 NORTHERN BLVD, SUITE 120, GREAT NECK, NY 11021-5317
(516) 829-0050
(516) 829-0052
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
223800
NY
207N00000X
Dermatology Physician
Primary
223800
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI8847
RAILROAD MEDICARE
NY
Enumeration date
02/24/2006
Last updated
12/16/2014
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