Individual
DR. COURTENAY CRAIG WATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1540 MAPLE RD, EMERGENCY ROOM, WILLIAMSVILLE, NY 14221-3647
(716) 681-8838
(716) 564-1134
Mailing address
305 CAYUGA RD, SUITE 190, CHEEKTOWAGA, NY 14225-1980
(716) 681-8838
(716) 564-1134
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2026711
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00046086801
UNIVERA HEALTH CARE
NY
01
—
000524706003
BLUE CROSS BLUE SHIELD
NY
05
—
01647685
—
NY
01
—
040426000857
FIDELIS
NY
01
—
3910437
INDEPENDENT HEALTH
NY
01
—
930039380
RAILROAD MEDICARE
NY
Enumeration date
06/13/2006
Last updated
10/02/2009
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