Individual
CHRISTOPHER LEE WATTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
6620 FLY RD, SUITE 200, EAST SYRACUSE, NY 13057-9717
(315) 464-8619
Mailing address
109 GOLDEN EAGLE DR, CAMILLUS, NY 13031-8692
(315) 425-4327
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005910
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02107371
—
NY
Enumeration date
05/16/2006
Last updated
02/28/2011
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