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Organization
PAUL F WATERS MD LLC
Active
Organization
PAUL F WATERS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNINE RACITI MD (BILLING MANAGER)
(914) 771-7335
Entity
Organization
Contact information
Practice address
170 W 12TH ST, NEW YORK, NY 10011-8202
(203) 863-4341
(203) 863-4249
Mailing address
55 MAMARONECK RD, SCARSDALE, NY 10583-2823
(203) 863-4341
(203) 863-4249
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
213723
NY
Other
Enumeration date
07/06/2006
Last updated
12/10/2012
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