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
Phone: (516) 385-0028
Fax: (516) 285-1655
Website:
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639431422 | NPPES |
| New York | MEDICAID | 174400000X |
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