Individual
DR. JASON BRIAN WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3526 FRANCIS LEWIS BLVD, FLUSHING, NY 11358-1954
(718) 631-8899
(718) 631-4401
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
284195
NY
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
284195-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
284195
LICENSE #
NY
Enumeration date
06/06/2011
Last updated
07/31/2024
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