Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 207857 | NY |
NPI | 1023047552 |
---|---|
Provider Name | Emile Wassel |
First Address | New Hartford, NY 13413-0602 |
Second Address | Utica, NY 13502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 19/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01786841 | (05) | NY |