Waters, Michael Farris
Waters, Michael Farris is an individual health care provider with primary practice located at 1 Gustave L Levy Pl Fl 12 , New York NY 10029-6574. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Neurology, Allopathic & Osteopathic Physicians / Neurology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Waters, Michael Farris can be contacted via phone (212) 241-7076.Contact Information
Primary practice address
1 Gustave L Levy Pl Fl 12
New York NY 10029-6574
Phone: (212) 241-7076
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | 52108 | Arizona |
| Allopathic & Osteopathic Physicians / Vascular Neurology | 2084V0102X | 327113 | New York |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 327113 | New York |
| Other Service Providers / Specialist | 174400000X | A78335 | California |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME86883 | Florida |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 52108 | Arizona |
Profile Details
| NPI number | 1629140561 |
|---|---|
| LBN Legal business name | Waters, Michael Farris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jan 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629140561 | NPPES |
| Florida | MEDICAID | 279658900 |
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