Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 194048 | NY |
NPI | 1023066198 |
---|---|
Provider Name | Dr. Melissa Pittel Wasserstein |
First Address | Sparkill, NY 10976-1301 |
Second Address | New York, NY 10029-6500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 13/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1858704 | (05) | NY |
G57276 | (02) | NY |