Individual
GRACIELA WETZLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
948 48TH ST, BROOKLYN, NY 11219-2918
(718) 283-8260
(718) 635-7235
Mailing address
977 48TH ST, BROOKLYN, NY 11219-2919
(718) 283-8015
(718) 635-7235
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
189484
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01598645
—
NY
01
—
1000016221
AFFINITY HEALTH
NY
01
—
1280998
UNITED HEALTHCARE
NY
01
—
189484
HIP
NY
01
—
189484-A15
HEALTH FIRST
NY
01
—
2340711
AETNA USHC HMO
NY
01
—
4C0545
HEALTH NET
NY
01
—
520281
EMPIRE BCBS
NY
01
—
5700005
AETNA PPO
NY
01
—
BK00911-02
AMERICHOICE
NY
01
—
P376609
OXFORD HEALTH
NY
01
—
WG9484
ATLANTIS HEALTH
NY
Enumeration date
09/19/2005
Last updated
07/08/2007
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