Individual
CHRISTOPHER JOHN WASACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5 CARE LN, SARATOGA SPRINGS, NY 12866-8623
(518) 489-2663
(518) 689-3881
Mailing address
121 EVERETT RD, ALBANY, NY 12205-1474
(518) 489-2663
(518) 689-3881
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
017626
NY
363AS0400X
Surgical Physician Assistant
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03983777
—
NY
Enumeration date
06/12/2014
Last updated
05/28/2025
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