Individual
DR. JAY K WASSERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
351 BAY RD, QUEENSBURY, NY 12804-1403
(518) 792-1112
(518) 792-1113
Mailing address
351 BAY RD, QUEENSBURY, NY 12804-1403
(518) 792-1112
(518) 792-1113
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35734
NY
Other
Enumeration date
05/07/2007
Last updated
07/09/2007
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