Dr. Jason Brian Wasserman
Plastic Surgeon (Head & Neck)
210 - 33 26th Ave Ground Level
Bayside
, New York 11360-1949
Dr. Jason Brian Wasserman
Plastic Surgeon (Head & Neck)
210 - 33 26th Ave Ground Level
Bayside
, New York 11360-1949
(914) 984-2546
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About
Features
Specialties
- Plastic Surgeon (Head & Neck)
Languages spoken
- English
Location
First Address
- Dr. Jason Brian Wasserman
- 660 White Plains Rd Fl 4
- Tarrytown, NY
- Zip : 10591-5139
- Phone : (914) 984-2546
Second Address
- Dr. Jason Brian Wasserman
- 210 - 33 26th Ave Ground Level
- Bayside, NY
- Zip : 11360-1949
- Fax : (718) 631-4401
- Phone : (718) 631-8835
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 284195-1 | NY |
National Provider Identifier
| NPI | 1245524370 |
|---|---|
| Provider Name | Dr. Jason Brian Wasserman |
| First Address | Tarrytown, NY 10591-5139 |
| Second Address | Bayside, NY 11360-1949 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/06/2011 |
| Last Update Date | 04/04/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 284195 | LICENSE # (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.