Individual
MS. ATHALEE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
72 4TH ST, BRENTWOOD, NY 11717-5532
(631) 415-3839
Mailing address
72 4TH ST, BRENTWOOD, NY 11717-5532
(631) 415-3839
(631) 273-0215
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
N26575
NY
164W00000X
Licensed Practical Nurse
268391
NY
251E00000X
Home Health Agency
Primary
N26575
NY
Other
Enumeration date
01/07/2015
Last updated
02/25/2026
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