Wasserman, Amy Michelle

Wasserman, Amy Michelle is an individual health care provider with primary practice located at 19 Bradhurst Ave Suite 3070N, Hawthorne NY 10532-2140. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Wasserman, Amy Michelle can be contacted via phone (914) 372-7887.

Contact Information

Primary practice address
19 Bradhurst Ave Suite 3070N Hawthorne NY 10532-2140
Phone: (914) 372-7887
Fax: (914) 372-7884
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 239748 Massachusetts
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X A97716 California
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 278234 New York

Profile Details

NPI number 1003056268
LBN Legal business name Wasserman, Amy Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2009
Last updated Mar 26th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003056268 NPPES
Massachusetts MEDICAID 110082710A

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