BETSY B WATERMAN (NPI# 1093709107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093709107 |
| Entity Type | Individual |
| Full Name | BETSY B WATERMAN |
| Credential | PHD |
| Practice Address |
61 Delano St Pulaski NY 13142-1400 |
| Practice Telephone | 3152986569 |
| Practice Fax Number | 3152987488 |
| Mailing Telephone | 3152986569 |
| Mailing Fax Number | 3152987488 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | 012184 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00307662 | 05 | |
| NY | 00012184 | 05 | |
| NY | FQHC NUMBER | 331880 | 01 |
| Street Address |
61 DELANO ST |
| City | PULASKI |
| State | NY |
| Zip Code | 13142-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275527376 | Celeste I Carnes | Nurse Practitioner | 61 Delano St, Pulaski, NY 13142-1400 | 2005-09-02 |
| 1023618121 | Caitlin Taylor Corrice | Physical Therapist | 61 Delano St, Pulaski, NY 13142-1400 | 2020-10-28 |
| 1780295139 | Chelsea Jean Louise Claflin | Student in an Organized Health Care Education/Training Program | 61 Delano St, Pulaski, NY 13142-1400 | 2020-08-10 |
| 1245840131 | Megan Hollister | Nurse Practitioner | 61 Delano St, Pulaski, NY 13142-1400 | 2020-08-05 |
| 1932724366 | Todd C Bryant | Nurse Practitioner | 61 Delano St, Pulaski, NY 13142-1400 | 2020-06-11 |
| 1538797154 | Rachael Stahl | Social Worker | 61 Delano St, Pulaski, NY 13142-1400 | 2020-03-30 |
| 1811538192 | Anson Dann | Physical Therapist | 61 Delano St, Pulaski, NY 13142-1400 | 2019-10-08 |
| 1568012920 | Wenling Riehle | Social Worker | 61 Delano St, Pulaski, NY 13142-1400 | 2019-09-18 |
| 1568025120 | Julie A Dewey | Nurse Practitioner | 61 Delano St, Pulaski, NY 13142-1400 | 2019-04-19 |
| 1477031342 | Mary E Shaben | Nurse Practitioner | 61 Delano St, Pulaski, NY 13142-1400 | 2018-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740461904 | William C. Buck | Pharmacist | 4767 Salina Street, Pulaski, NY 13142 | 2007-11-16 |
| 1023231149 | Jody Lee Hipple | Nurse Practitioner | 61 Delano Street, Pulaski, NY 13142 | 2007-04-10 |
| 1427189638 | Jay F Sullivan Md PC | Family Medicine | 4882b North Jefferson St, Pulaski, NY 13142 | 2007-03-08 |
| 1932239605 | Angela L Christmas-mattison | Social Worker | 4 Hubble Street, Pulaski, NY 13142 | 2007-03-06 |
| 1912072869 | Jeffery D Ford | Chiropractor | 1 James St, Pulaski, NY 13142 | 2006-11-22 |
| 1518078716 | Smile Factory Inc | Dentist | 20 Bridge Street, Pulaski, NY 13142 | 2006-08-31 |
| 1861426413 | Jay Frederick Sullivan | Family Medicine | 4882b North Jefferson Street, Pulaski, NY 13142 | 2006-07-10 |
| 1710469416 | Megan Lee Phillips | Pharmacist | 3873 Rome Rd, Pulaski, NY 13142 | 2018-08-30 |
| 1689058489 | Podiatry Services of Central New York, PC | Podiatrist | 61 Delano Street, Pulaski, NY 13142 | 2015-07-13 |
| 1811266885 | Claudia Hurne | Registered Nurse | 124 Salisbury Street, Sandy Creek, NY 13142-0248 | 2011-12-21 |
| Find all providers in zip 13142 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245896695 | Paul Soloway | Medical Genetics, Ph.D. Medical Genetics | 327 The Pkwy, Ithaca, NY 14850-2275 | 2019-05-11 |
| 1376908418 | Robert Miller | Medical Genetics, Ph.D. Medical Genetics | 213 Glen St, Glen Cove, NY 11542-2734 | 2015-12-16 |
| 1831467935 | Tili Medical Office Pllc | Medical Genetics, Ph.D. Medical Genetics | 5830 Main St Fl 1, Flushing, NY 11355-5336 | 2011-12-05 |
| 1629393608 | Zahra Fayzi | Medical Genetics, Ph.D. Medical Genetics | 8940 Galway Ter, Clarence Center, NY 14032-9400 | 2010-04-01 |
| 1982931218 | Interpublic Medical PC | Medical Genetics, Ph.D. Medical Genetics | 1005 Richmond Rd, Staten Island, NY 10304-2413 | 2009-11-06 |
| 1174777411 | Franklin Lee | Medical Genetics, Ph.D. Medical Genetics | 13604 Northern Blvd Ste Cu3, Flushing, NY 11354-6515 | 2008-11-13 |
| 1598926354 | W.liang's Medical Office | Medical Genetics, Ph.D. Medical Genetics | 13302 41st Ave Apt 1f, Flushing, NY 11355-5848 | 2008-06-24 |
| 1174664643 | Lnw Medical Office, Pllc | Medical Genetics, Ph.D. Medical Genetics | 33 Walt Whitman Rd Ste 100a, Huntington Station, NY 11746-3631 | 2007-02-09 |
| 1639216476 | North Suffolk Medical Associates, P.C. | Medical Genetics, Ph.D. Medical Genetics | 1019 Fort Salonga Rd Ste 101, Northport, NY 11768-2270 | 2007-01-31 |
| 1568533917 | Thomas C Shanahan | Medical Genetics, Ph.D. Medical Genetics | 110 Broadway St, Buffalo, NY 14203-1630 | 2006-11-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.