Individual
DR. EILEEN WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-5982
(585) 756-0169
Mailing address
601 ELMWOOD AVE, BOX 604, ROCHESTER, NY 14642-0001
(585) 275-5982
(585) 756-0169
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
196677
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026238901
UNIVERA
NY
05
—
00372225
—
NY
05
—
01494100
—
NY
01
—
050081085
RAILROAD MEDICARE
NY
01
—
2222
BLUE SHIELD GROUP
NY
01
—
G0189393590
BLUE CHOICE GROUP
NY
01
—
MDG279
PREFERRED CARE
NY
01
—
P010196677
BLUE CHOICE
NY
Enumeration date
07/18/2006
Last updated
11/22/2010
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