Individual
DIANE WASSERBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-5321
(585) 756-4721
Mailing address
601 ELMWOOD AVE, BOX 665, ROCHESTER, NY 14642-0001
(585) 275-5321
(585) 756-4721
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
010382
NY
363AM0700X
Medical Physician Assistant
10382
NY
Other
Enumeration date
11/04/2006
Last updated
04/28/2023
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