Mark Wasserman, Md

LBN: Mark Wasserman, Md
Mark Wasserman, Md is an health care organization with primary practice located at 555 Route 25A , Miller Place NY 11764-2625. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mark Wasserman, Md can be contacted via phone (631) 744-6666, or through Wasserman, Mark via phone (631) 744-6666.

Contact Information

Primary practice address
555 Route 25A Miller Place NY 11764-2625
Phone: (631) 744-6666
Fax: (631) 744-0525
Website:
Map and Directions
Authorized official contact:
Name: Wasserman, Mark Doctor of Medicine (MD)
Phone: (631) 744-6666

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 132521 New York

Profile Details

NPI number 1396824306
LBN Legal business name Mark Wasserman, Md
DBA Doing business as
Authorized official Wasserman, Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2006
Last updated Dec 31st, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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