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General NPI Number Information
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NPI Number | 1568023992
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Entity Type | Organization
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Legal Business Name | DAVID WASSERLAUF OD PC
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Dates
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Enumeration Date | 06/26/2019
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 501 NY-208 SUITE 201
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City | MONROE
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State | NY
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Zip | 10950
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Country | US
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Telephone | 845-637-2625
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Fax |
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Provider Business Mailing Address
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Address Line | 9-01 SADDLE RIVER RD
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City | FAIR LAWN
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State | NJ
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Zip | 07410-5717
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Country | US
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Telephone | 347-558-3413
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Fax | 845-352-5092
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DAVID WASSERLAUF
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Credential | OD
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Telephone | 347-558-3413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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