Individual
ADELLA WASSERSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3011 KERSDALE RD, PEPPER PIKE, OH 44124-5349
(212) 721-3462
(206) 666-1992
Mailing address
3011 KERSDALE RD, PEPPER PIKE, OH 44124-5349
(917) 304-7192
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
188946
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0320367
—
OH
Enumeration date
09/27/2006
Last updated
02/09/2021
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