Wasserman, Daniel Horacio

Wasserman, Daniel Horacio is an individual health care provider with primary practice located at 11203 Queens Blvd Suite 207, Forest Hills NY 11375-5550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Wasserman, Daniel Horacio can be contacted via phone (718) 544-7077.

Contact Information

Primary practice address
11203 Queens Blvd Suite 207 Forest Hills NY 11375-5550
Phone: (718) 544-7077
Fax: (718) 261-4476
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 170615-1 New York

Profile Details

NPI number 1023154069
LBN Legal business name Wasserman, Daniel Horacio
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 2007 - about 18 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 1023154069 NPPES
New York MEDICAID 01078399

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