Individual
DR. JASON AARON WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
260 W SUNRISE HWY STE 200, VALLEY STREAM, NY 11581-1015
(516) 825-3600
(516) 823-2051
Mailing address
55 WATER ST FL 2, NEW YORK, NY 10041-0010
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
231814
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02745242
—
NY
Enumeration date
03/16/2006
Last updated
10/10/2025
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