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Individual

ERICA ROSALIND WATERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
56-45 MAIN ST, NEW YORK HOSPITAL MEDICAL CENTER OF QUEENS EMERGENCY DE, FLUSHING, NY 11355
(718) 670-1231
(610) 617-6280
Mailing address
PO BOX 430, EMERGENCY PRACTICE PLAN, FLUSHING, NY 11352
(610) 668-6491
(610) 617-6280

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
185857
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01454466
NY
Enumeration date
07/28/2006
Last updated
07/08/2007
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