OrganizationActive
Debra J. Wattenberg, M.d.,p.c
NPI 1740455765 · Legal Medicine · New York, NY
Provider details
- NPI number
- 1740455765
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Organization subpart
- No
- Authorized official
- Debra Wattenberg, Owner(212) 288-3200
- License
- 178869 (NY)
Specialties & taxonomies
Other Service Providers
Practice location
875 5th Ave
69th St, 2b
New York, NY 10065-4952
Phone: (212) 288-3200
Fax: (212) 288-3226
Approximate (ZIP-level) locationGet directions
Mailing address
875 5th Ave
New York, NY 10065-4952
Registry dates
- Enumerated
- 2008-04-30
- Last updated
- 2008-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.