Mark David Wasserman in Miller Place - Family Medicine
Mark David Wasserman - NPI 1033176805
Mark David Wasserman is a Family Medicine in Miller Place, New York. Mark David Wasserman practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark David Wasserman is 1033176805. The last update date is 2008-02-28.
Mark David Wasserman's current location address is 555 Route 25a, Miller Place, New York. You can contact this provider via phone number 6317446666 and fax number 6317440525. The mailing address for Mark David Wasserman is 555 Route 25a, Miller Place, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark David Wasserman |
|---|---|
| Address | 555 Route 25a, Miller Place, New York |
| Phone Number | 6317446666 |
| Fax Number | 6317440525 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1033176805 |
|---|---|
| Provider Enumeration Date | 2006-04-27 |
| Last Updated Date | 2008-02-28 |
Provider Mailing Address Detail
| Address | 555 Route 25a |
|---|---|
| City | Miller Place |
| State | New York (NY) |
| Post Code | 117642625 |
| Phone Number | 6317446666 |
| Fax Number | 6317440525 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 132521 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 651661 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark David Wasserman by the Centers for Medicare & Medicaid Services?
The Mark David Wasserman has been issued the NPI (National Provider Identifier) 1033176805, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mark David Wasserman is located?
The Mark David Wasserman is situated at the following address: 555 Route 25A, Miller Place, NY, 117642625.
What is the Mark David Wasserman's area of specialization and corresponding taxonomy classification?
The Mark David Wasserman's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
When did the Mark David Wasserman receive its 1033176805?
The Mark David Wasserman was issued its 1033176805 on 2006-04-27, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Mark David Wasserman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark David Wasserman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-02-28.