Organization
BRADLEY WASSERMAN, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY R WASSERMAN MD (PHYSICAN)
(212) 750-1110
Entity
Organization
Contact information
Practice address
630 1ST AVE, APT 20G, NEW YORK, NY 10016-3700
(718) 966-6869
(718) 989-6995
Mailing address
630 1ST AVE, APT 20G, NEW YORK, NY 10016-3700
(718) 966-6869
(718) 989-6995
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
246054
NY
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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