Laurie Waters PA

NPI 1023032760 - Physician Assistant - 363A00000X

NPI Details
NPI 1023032760
Gender Female
Enumeration Date 07/26/2006
Last Updated 05/29/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1000 MONTAUK HWY
WEST ISLIP NY, 11795-4927, US
Phone (631) 376-3000
Fax
Business Location
PO BOX 6010
HAUPPAUGE NY, 11788-9010, US
Phone (631) 232-4000
Fax (631) 851-9225
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 1060114
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According to our database, Laurie Waters PA NPI is 1023032760, taxonomy code is 363A00000X and license number is 1060114, license state is located at New York. Laurie Waters PA physically located at 1000 Montauk Hwy, West Islip NY, 11795-4927. NPI Number Laurie Waters PA has the Individual type.

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1023032760 NPI number is provided on an as is basis without warranty of any kind. 1023032760 is maintained by the National Plan & Provider Enumeration System. The contents of Laurie Waters PA are for informational purposes only.