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Organization

KIDNEY AND HYPERTENSION CONSULTANT, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EMILE WASSEL M.D. (PHYSICIAN)
(315) 624-8100
Entity
Organization

Contact information

Practice address
1676 SUNSET AVE, SUITE 401, UTICA, NY 13502-5416
(315) 624-8100
(315) 624-8105
Mailing address
P.O. BOX 602, NEW HARTFORD, NY 13413

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
207857
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02902963
NY
Enumeration date
07/23/2006
Last updated
02/15/2013
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