Mr. Wallace Carlisle Watson Jr., PA
Mr. Wallace Carlisle Watson Jr., PA is a General Practice Physician in Cuba, New York. Licensed in New York. Registered with an NPI since 2006.
- Licensed in
- NY
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
21 E Main StCuba, NY 14727-1205
Phone: (585) 968-4357
Fax: (585) 968-4356
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 001255 (NY) |
|---|---|
| General Practice Physician | Taxonomy 208D00000X · Licence 0012551 (NY) |
Record details
| NPI number | 1073554150 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | June 9, 2006 |
| Last updated in NPPES | May 28, 2013 |