| Dr Giacomo Colver Waller, MD | |
|
19 E 98th St, 7th Fl, Ste A, Box #1259, Ny, NY 10029-6574 | |
| (212) 241-0949 | |
| (212) 534-2654 |
| Full Name | Dr Giacomo Colver Waller |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 19 E 98th St, 7th Fl, Ny, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801391438 | NPI | - | NPPES |
| 125.077143 | Other | IL | ILLINOISE DFPR |
| 322610 | Other | NY | NEW YORK STATE EDUCATION DEPARTMENT OFFICE OF THE PROFESSIONS |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Giacomo Colver Waller, MD 19 E 98th St, 7th Fl, Ste A, Box #1259, Ny, NY 10029-6574 Ph: (212) 241-0949 | Dr Giacomo Colver Waller, MD 19 E 98th St, 7th Fl, Ste A, Box #1259, Ny, NY 10029-6574 Ph: (212) 241-0949 |
Stephen E Goldstone, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 420 West 23rd Street, Suite Pb, Ny, NY 10011 Phone: 212-242-6500 Fax: 212-242-3111 |