Healthcare Provider Details

I. General information

NPI: 1861451775
Provider Name (Legal Business Name): ROSALIND WATMAN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2006
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4915 E BASELINE RD STE 116
GILBERT AZ
85234-2966
US

IV. Provider business mailing address

2201 HEMPSTEAD TPKE
EAST MEADOW NY
11554-1859
US

V. Phone/Fax

Practice location:
  • Phone: 480-354-9200
  • Fax:
Mailing address:
  • Phone: 516-296-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number166543
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: