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NPI Code Detail

MEDICARE: PATRICIA WATTS

MEDICARE: PATRICIA WATTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse284964NY
2163WH0200XHome Health Registered Nurse689829NY

General Provider Information

NPI Number : 1720365968
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA WATTS
Provider Business Mailing Address
First Line : 545 BEACH 64TH STREET
Second Line :
City : ARVERNE
State : NY
Zip : 11692
Country : US
Telephone Number : 347-983-3517
Fax Number :
Provider Business Practice Location Address
First Line : 545 BEACH 64TH ST
Second Line :
City : ARVERNE
State : NY
Zip : 11692-1326
Country : US
Telephone Number : 347-983-3517
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2011
Last Update Date : 03/13/2023

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Directions to “ PATRICIA WATTS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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