Individual
DR. DEVORAH A WASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
180 WASHINGTON AVENUE EXT, ALBANY, NY 12203-5347
(518) 456-7831
(518) 456-1561
Mailing address
156 KENNEWYCK CIR, SLINGERLANDS, NY 12159-9568
(518) 464-0644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
221929
NY
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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