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NPI Code Detail

MEDICARE: DR. JAY GARSON WATSKY M.D.

MEDICARE: DR. JAY GARSON WATSKY M.D.
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
1207RE0101XEndocrinology, Diabetes & Metabolism Physician196100NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972500247
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAY GARSON WATSKY M.D.
Provider Business Mailing Address
First Line : 1365 WASHINGTON AVE
Second Line : STE 300
City : ALBANY
State : NY
Zip : 12206-1098
Country : US
Telephone Number : 518-489-4704
Fax Number : 518-489-0512
Provider Business Practice Location Address
First Line : 1365 WASHINGTON AVE
Second Line : STE 300
City : ALBANY
State : NY
Zip : 12206-1098
Country : US
Telephone Number : 518-489-4704
Fax Number : 518-489-0512
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 07/08/2007

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