Individual
ANWAR WASSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 CHAMPLIN AVE, UTICA, NY 13502-3662
(315) 624-9000
(315) 624-9003
Mailing address
PO BOX 821, NEW HARTFORD, NY 13413-0821
(315) 624-9000
(315) 624-9003
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
242965-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03040824
—
NY
01
—
242965-1
STATE LICENSE
NY
Enumeration date
07/16/2008
Last updated
12/17/2018
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