Individual
GHIN KHENG TOH WASSERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
88 LAKEVIEW DR, BREWSTER, NY 10509-2803
(845) 278-2357
Mailing address
88 LAKEVIEW DR, BREWSTER, NY 10509-2803
(845) 278-2357
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
004862-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GH28IN
—
NY
Enumeration date
07/13/2010
Last updated
07/13/2010
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