Individual
MICHELLE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 FOUGERON ST, BUFFALO, NY 14211-1318
(716) 931-5559
(716) 221-8292
Mailing address
114 FOUGERON ST, BUFFALO, NY 14211-1318
(716) 931-5559
(716) 221-8292
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
801166729
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
841785292
—
NY
Enumeration date
04/10/2021
Last updated
04/10/2021
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