Individual
MR. WALTER GABRIEL WASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 WEST 61ST ST, NEW YORK, NY 10023
(212) 977-3100
(212) 977-3475
Mailing address
211 WEST 61ST ST, NEW YORK, NY 10023
(212) 977-3100
(212) 977-3475
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
1332561
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00837081
—
NY
01
—
0090217
AETNA
—
01
—
NS635
OXFORD
—
Enumeration date
01/25/2006
Last updated
04/18/2008
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