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

Dr. Mark David Wasserman, MD

Individual provider Family Medicine Physician · NPI 1033176805

Dr. Mark David Wasserman, MD is a Family Practice in Miller Place, New York. Qualified in 1974, 52 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
52
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

555 Route 25A
Miller Place, NY 11764-2625
Phone: (631) 744-6666
Fax: (631) 744-0525
Show map & directions

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 number1033176805
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 27, 2006
Last updated in NPPESFebruary 28, 2008
Mailing address555 Route 25a, Miller Place, NY 11764-2625

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1974 (52 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Miller Place