Waterman, Jason Aaron

Waterman, Jason Aaron is an individual health care provider with primary practice located at 260 W Sunrise Hwy , Valley Stream NY 11581-1011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Waterman, Jason Aaron can be contacted via phone (646) 680-4227.

Contact Information

Primary practice address
260 W Sunrise Hwy Valley Stream NY 11581-1011
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 231814 New York

Profile Details

NPI number 1093784571
LBN Legal business name Waterman, Jason Aaron
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jan 5th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093784571 NPPES
New York MEDICAID 02745242

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