Individual
DR. MITCHELL WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-7900
Mailing address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-7900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
336133
NY
Other
Enumeration date
07/06/2021
Last updated
09/12/2025
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