Organization
DEBRA J. WATTENBERG, M.D.,P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA JOY WATTENBERG M.D. (OWNER)
(212) 288-3200
Entity
Organization
Contact information
Practice address
875 5TH AVE, 69TH ST, 2B, NEW YORK, NY 10065-4952
(212) 288-3200
(212) 288-3226
Mailing address
875 5TH AVE, 69TH ST, 2B, NEW YORK, NY 10065-4952
(212) 288-3200
(212) 288-3226
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
178869
NY
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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