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Individual

ANN M WATTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, CDN, CDE

Contact information

Practice address
75 BEEKMAN ST, PLATTSBURGH, NY 12901-1438
(518) 561-2000
(518) 561-0881
Mailing address
PO BOX 2868, PLATTSBURGH, NY 12901-0259
(518) 562-7900
(518) 562-7933

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
005718
NY
133V00000X
Registered Dietitian
005718
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
114406
VALUE OPTIONS
NY
01
141338471
EXCELLUS
NY
Enumeration date
11/28/2006
Last updated
05/30/2025
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