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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 last year

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 1629140561 NPPES
Florida MEDICAID 279658900

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