Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Debra J. Wattenberg, MD, PC

Organization Legal Medicine · NPI 1740455765

Debra J. Wattenberg, MD, PC is a Legal Medicine in New York, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

875 5th Ave 69th St 2B
New York, NY 10065-4952
Phone: (212) 288-3200
Fax: (212) 288-3226
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Legal Medicine (primary) Taxonomy 173000000X · Licence 178869 (NY)

Record details

NPI number1740455765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debra Wattenberg — Owner · (212) 288-3200
NPI enumeratedApril 30, 2008
Last updated in NPPESApril 30, 2008
Mailing address875 5th Ave, 69th St, 2b, New York, NY 10065-4952

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