Individual
COREY ILYSSA WASSERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
40 WORTH ST, SUITE 402, NEW YORK, NY 10013-2904
(646) 962-3400
Mailing address
40 WORTH ST, SUITE 402, NEW YORK, NY 10013-2904
(646) 962-3400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
271434
NY
Other
Enumeration date
06/16/2011
Last updated
03/04/2019
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