Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain Medical of Watertown

Organization Physician Assistant · NPI 1306068812

Mountain Medical of Watertown is a Physician Assistant in Watertown, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

457 Gaffney Dr
Watertown, NY 13601
Phone: (315) 779-2273
Fax: (315) 779-2274
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001608-1 (NY)

Record details

NPI number1306068812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Knowles — Pa · (315) 779-2273
NPI enumeratedMay 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing address457 Gaffney Dr, Watertown, NY 13601

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