Individual provider · Type 1 NPI

Joel La Watson, P.A

Medical Physician Assistant · Bethpage, NY

NPI number 1003968132 Active

Practice location

4295 Hempstead Tpke
Bethpage, NY 11714-5713

Call (516) 579-6000 Map

Mailing address

21 Crowell St
Hempstead, NY 11550-5113

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X008600 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1003968132

Joel La Watson, P.A's National Provider Identifier is 1003968132, issued on Jan 17, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bethpage, NY. The record was last updated on Jul 8, 2007.