National Provider Identifier Database

MOUNTAIN MEDICAL OF WATERTOWN
Physician Assistant

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.


Contact Information

MOUNTAIN MEDICAL OF WATERTOWN
457 GAFFNEY DR
WATERTOWN, NY13601
Phone: 315-779-2273
Fax: 315-779-2274
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for MOUNTAIN MEDICAL OF WATERTOWN

NPI Number 1306068812
Legal business name
LBN
MOUNTAIN MEDICAL OF WATERTOWN
Authorized official MARK KNOWLES - (PA)
Entity Organization
Organization subpart No
Enumeration date 05/03/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 001608-1

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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