Individual
MICHAEL WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16 BRENTWOOD DR STE A, ITHACA, NY 14850-1863
(607) 277-2365
Mailing address
1301 TRUMANSBURG RD, SUITE P, ITHACA, NY 14850-1397
(607) 277-2365
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
284573
NY
Other
Enumeration date
05/07/2010
Last updated
07/08/2016
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