Betsy B Waterman
Medical Geneticist
61 Delano St
Pulaski
, New York 13142-1400
Betsy B Waterman
Medical Geneticist
61 Delano St
Pulaski
, New York 13142-1400
(315) 298-7488
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About
Features
Specialties
- Medical Geneticist
Languages spoken
- English
Location
First Address
- Betsy B Waterman
- 61 Delano St
- Pulaski, NY
- Zip : 13142-1400
- Fax : (315) 298-7488
- Phone : (315) 298-6569
Second Address
- Betsy B Waterman
- 61 Delano St
- Pulaski, NY
- Zip : 13142-1400
- Fax : (315) 298-7488
- Phone : (315) 298-6569
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 170100000X | Medical Geneticist | 012184 | NY |
National Provider Identifier
| NPI | 1093709107 |
|---|---|
| Provider Name | Betsy B Waterman |
| First Address | Pulaski, NY 13142-1400 |
| Second Address | Pulaski, NY 13142-1400 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/09/2005 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00012184 | (05) | NY |
| 00307662 | (05) | NY |
| 331880 | FQHC NUMBER (01) | NY |
| Q20097 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.