Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | 273024 | NY |
NPI | 1255629887 |
---|---|
Provider Name | Dr. Emily Wasserman |
First Address | Bronx, NY 10467-2510 |
Second Address | New York, NY 10065-4870 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2011 |
Last Update Date | 23/01/2020 |