Individual
DR. JERRY WATMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2101 MERMAID AVE, BROOKLYN, NY 11224-2517
(718) 266-1676
(718) 266-4528
Mailing address
2101 MERMAID AVE, BROOKLYN, NY 11224-2517
(718) 266-1676
(718) 266-4528
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
185401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01241905
—
NY
Enumeration date
12/08/2005
Last updated
03/30/2015
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