Individual
MRS. GWEN ELIZABETH WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNMS
Contact information
Practice address
40 FROST MILL RD, MILL NECK, NY 11765-1102
(516) 922-4100
(516) 922-0203
Mailing address
40 FROST MILL RD, MILL NECK, NY 11765-1102
(516) 922-4100
(516) 922-0203
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
298565
NY
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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