Individual
MR. ERIC R WASP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3400 BAINBRIDGE AVE, SUITE 300; LOWER LOBBY, BRONX, NY 10467-2490
(718) 920-5525
Mailing address
3400 BAINBRIDGE AVE, SUITE 300; LOWER LOBBY, BRONX, NY 10467-2490
(718) 920-5525
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008894
NY
Other
Enumeration date
10/02/2006
Last updated
09/07/2007
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