Individual
JON A EMERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
428 WASHINGTON ST, STE 4, WATERTOWN, NY 13601-4832
(315) 788-4880
(315) 788-4896
Mailing address
445 FACTORY ST, PO BOX 91, WATERTOWN, NY 13601-2729
(315) 782-4207
(315) 782-8699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
227318
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00354315
—
NY
Enumeration date
05/09/2006
Last updated
03/31/2020
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