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Organization

MARVIN S WATSKY PC

Active
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Organization

MARVIN S WATSKY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARVIN S WATSKY DO (PRESIDENT)
(631) 957-3737
Entity
Organization

Contact information

Practice address
150 E SUNRISE HWY, SUITE L19, LINDENHURST, NY 11757
(631) 957-3737
Mailing address
150 E SUNRISE HWY, SUITE L19, LINDENHURST, NY 11757
(631) 957-3737

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
1086411
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00241823
NY
01
0089890
GHI
01
724743
EMPIRE BCBS
NY
01
AS1616
OXFORD
Enumeration date
08/09/2006
Last updated
10/15/2012
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