Individual provider · Type 1 NPI

Theresa A. Waters, D. O.

Cardiovascular Disease Physician · Fayetteville, NY

NPI number 1629393202 Active

Practice location

510 Towne Dr
Fayetteville, NY 13066-1331

Call (315) 663-0500 Map

Fax (315) 663-0514

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000X61027 (NY)
Cardiovascular Disease Physician Primary 207RC0000X285798 (NY)
Internal Medicine Physician 207R00000X285798 (NY)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1629393202

Theresa A. Waters, D. O.'s National Provider Identifier is 1629393202, issued on Apr 7, 2010. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Fayetteville, NY. The record was last updated on Sep 27, 2019.