Healthcare Provider Details

I. General information

NPI: 1669466397
Provider Name (Legal Business Name): NAOMI CHAIM-WATMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date: 03/25/2006
Reactivation Date: 04/04/2006

III. Provider practice location address

303 E PARK AVE
LONG BEACH NY
11561-3600
US

IV. Provider business mailing address

4 PAYNE CIR
HEWLETT NY
11557-2735
US

V. Phone/Fax

Practice location:
  • Phone: 516-897-4600
  • Fax: 516-897-0769
Mailing address:
  • Phone: 516-374-4921
  • Fax: 516-897-0769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number171933
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: