Individual
DR. DANIEL HORACIO WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11203 QUEENS BLVD, SUITE 207, FOREST HILLS, NY 11375-5550
(718) 544-7077
(718) 261-4476
Mailing address
11203 QUEENS BLVD, SUITE 207, FOREST HILLS, NY 11375-5550
(718) 544-7077
(718) 261-4476
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
170615-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01078399
—
NY
Enumeration date
01/29/2007
Last updated
07/08/2007
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