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EMMANUEL KURAUN WASEM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6970 GRAND CENTRAL PKWY, FOREST HILLS, NY 11375-3949
(718) 263-4600
Mailing address
3104 TULIP TREE PL, DUMFRIES, VA 22026-4554
(281) 248-6277

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P136614
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
P136614
NY

Other

Enumeration date
07/23/2025
Last updated
08/08/2025
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