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NPI Code Detail

MEDICARE: PATRICK THOMAS WATSON D.P.T.

MEDICARE: PATRICK THOMAS WATSON D.P.T.
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
1225100000XPhysical Therapist035049NY

General Provider Information

NPI Number : 1932455474
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK THOMAS WATSON D.P.T.
Provider Business Mailing Address
First Line : 307 5TH AVE FL 6
Second Line :
City : NEW YORK
State : NY
Zip : 10016-6575
Country : US
Telephone Number : 212-759-2282
Fax Number : 212-379-2123
Provider Business Practice Location Address
First Line : 120 E 56TH ST RM 1010
Second Line :
City : NEW YORK
State : NY
Zip : 10022-3652
Country : US
Telephone Number : 212-759-2211
Fax Number : 212-379-2130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2012
Last Update Date : 06/14/2019

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