Individual
KRISTA LYNN WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40 CROSSWAYS PARK DR STE 101, WOODBURY, NY 11797-2038
(516) 496-3900
Mailing address
900 MERCHANTS CONCOURSE STE 216, WESTBURY, NY 11590-5114
(516) 226-8373
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
299420
NY
207VG0400X
Gynecology Physician
299420
NY
207VX0000X
Obstetrics Physician
299420
NY
Other
Enumeration date
03/24/2015
Last updated
12/03/2019
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