Watson, Enid

Watson, Enid is an sole proprietor health care provider with primary practice located at 15 Dewitt St , Valley Stream NY 11580-2218. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Watson, Enid can be contacted via phone (516) 385-0028.

Contact Information

Primary practice address
15 Dewitt St Valley Stream NY 11580-2218
Fax: (516) 285-1655
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 7180 New York

Profile Details

NPI number 1639431422
LBN Legal business name Watson, Enid
Credentials MSC IN EDUCATION
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2012
Last updated Jun 8th, 2012 - about 12 years 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 1639431422 NPPES
New York MEDICAID 174400000X

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