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

Mark Wasserman, MD

Organization Family Medicine Physician · NPI 1396824306

Mark Wasserman, MD is a Family Medicine Physician in Miller Place, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

555 Route 25A
Miller Place, NY 11764-2625
Phone: (631) 744-6666
Fax: (631) 744-0525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 132521 (NY)

Record details

NPI number1396824306
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Wasserman — Md · (631) 744-6666
NPI enumeratedNovember 2, 2006
Last updated in NPPESDecember 31, 2007
Mailing address555 Route 25a, Miller Place, NY 11764-2625

Other providers in Miller Place