Organization
MARK WASSERMAN, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WASSERMAN MD (MD)
(631) 744-6666
Entity
Organization
Contact information
Practice address
555 ROUTE 25A, MILLER PLACE, NY 11764-2625
(631) 744-6666
(631) 744-0525
Mailing address
555 ROUTE 25A, MILLER PLACE, NY 11764-2625
(631) 744-6666
(631) 744-0525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
132521
NY
Other
Enumeration date
11/02/2006
Last updated
12/31/2007
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