Wasserman, Randi S
Wasserman, Randi S is an individual health care provider with primary practice located at 7901 Broadway A734, Elmhurst NY 11373-1329. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Wasserman, Randi S can be contacted via phone (718) 334-3380.Contact Information
Primary practice address
7901 Broadway A734
Elmhurst NY 11373-1329
Phone: (718) 334-3380
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 143376 | New York |
Profile Details
| NPI number | 1851388771 |
|---|---|
| LBN Legal business name | Wasserman, Randi S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Aug 20th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851388771 | NPPES |
| New York | MEDICAID | 01501862 |
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