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

Randy Watson

Individual provider Physician Assistant · NPI 1396991824

Randy Watson is a Physician Assistant in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

130 W Kingsbridge Rd
Bronx, NY 10468-3904
Phone: (718) 584-9000
Fax: (718) 741-4285
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 012651 (NY)

Record details

NPI number1396991824
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 15, 2008
Last updated in NPPESAugust 15, 2008
Mailing address11311 76th Rd Apt 3a, Forest Hills, NY 11375-6557

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