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Contact Information

WATERTOWN INTERNISTS PC
53-59 PUBLIC SQUARE
SUITE 301
WATERTOWN, NY13601
 Phone: 315-782-2141
 Fax: 315-782-5123
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WATERTOWN INTERNISTS PC

NPI Number 1609844463
LBN Legal business name WATERTOWN INTERNISTS PC
Authorized official COLLINS KELLOGG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/09/2006
Last updated 08/17/2018 - About 8 years ago
Identifiers
NY Medicaid 01108621
NY Other CN1323 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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