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Individual

DR. HOWARD JAY WASSERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
45 W 54TH ST, SUITE 1E, NEW YORK, NY 10019-5404
(212) 265-7150
Mailing address
45 W 54TH ST, SUITE 1E, NEW YORK, NY 10019-5404
(212) 265-7150
(212) 977-9486

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
036596
NY

Other

Enumeration date
08/18/2006
Last updated
07/08/2007
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