Individual provider · Type 1 NPI

Wallace Carlisle Watson Jr., PA

Physician Assistant · Cuba, NY

NPI number 1073554150 Active

Practice location

21 E Main St
Cuba, NY 14727-1205

Fax (585) 968-4356

Mailing address

2211 W State St, Suite 121
Olean, NY 14760-1951

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician 208D00000X0012551 (NY)
Physician Assistant Primary 363A00000X001255 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1073554150

Wallace Carlisle Watson Jr., PA's National Provider Identifier is 1073554150, issued on Jun 9, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Cuba, NY. The record was last updated on May 28, 2013.