Individual
DR. MICHAEL R WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1 PARIS RD, NEW HARTFORD, NY 13413-2350
(315) 797-9091
(315) 797-9124
Mailing address
1 PARIS RD, NEW HARTFORD, NY 13413-2350
(315) 797-9091
(315) 797-9124
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT0005040
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02601898
—
NY
Enumeration date
07/06/2005
Last updated
06/09/2009
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