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Mr. Wallace Carlisle Watson JR., PA
Physician Assistant in Cuba, New York
NPI 1073554150

Wallace Carlisle Watson JR. is a Physician Assistant based in Olean, NY. Wallace Carlisle Watson JR. practices in Cuba, NY and has the professional credentials of PA. The NPI Number for Wallace Carlisle Watson JR. is 1073554150 and holds a License No. 0012551 (New York).

The current practice location address for Wallace Carlisle Watson JR. is 21 E Main St, Cuba, NY and can be reached out via phone at 585-968-4357 and via fax at 585-968-4356.

Location: 21 E Main St, Cuba, NY, 14760-1951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073554150
Provider Name
Wallace Carlisle Watson JR.
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
21 E Main St, Cuba, NY, 14760-1951
Phone Number
585-968-4357
Fax Number
585-968-4356
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0490352 01 NY IHA
00010257702 01 UNIVERA
407113852 01 RAILROAD MEDICARE
000508499002 01 NY BCWNY
2598491 01 GHI
01531593 05 NY
institution
Provider Business Practice Location Address Details
Address
21 E Main St
City
Cuba
State
New York
Zip
14727-1205
Phone Number
585-968-4357
Fax Number
585-968-4356
person
Provider Business Mailing Address Details
Address
21 E Main St
City
Cuba
State
New York
Zip
14727-1205
Phone Number
585-968-4357
Fax Number
585-968-4356
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
001255 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
0012551 (New York)
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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