Dr Jason Aaron Waterman, DO | |
260 W Sunrise Hwy, Valley Stream, NY 11581-1011 | |
(646) 680-4227 | |
Not Available |
Full Name | Dr Jason Aaron Waterman |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 260 W Sunrise Hwy, Valley Stream, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093784571 | NPI | - | NPPES |
02745242 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 231814 (New York) | Primary |
Entity Name | Advantagecare Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336578772 PECOS PAC ID: 2365735008 Enrollment ID: O20160719000446 |
Mailing Address | Practice Location Address |
---|---|
Dr Jason Aaron Waterman, DO 55 Water Street, 2nd Floor, Cred Dept, New York, NY 10041-0004 Ph: (646) 680-2888 | Dr Jason Aaron Waterman, DO 260 W Sunrise Hwy, Valley Stream, NY 11581-1011 Ph: (646) 680-4227 |
Lisa Diep, R.N. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13 Cleveland St, Valley Stream, NY 11580 Phone: 516-823-0739 | |
Howard W Isenberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 260 West Sunrise Highway, Suite 200, Valley Stream, NY 11581 Phone: 516-825-3600 Fax: 516-823-2051 | |
Dr. Lawrence S. Fink, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 125 Franklin Ave, Ste 203, Valley Stream, NY 11580 Phone: 516-561-2720 Fax: 516-561-1493 | |
Dr. Carl L Barberis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 260 W Sunrise Hwy, Valley Stream, NY 11581 Phone: 516-825-3600 Fax: 516-872-5137 | |
Marissa Fox, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 222 Park Dr, Valley Stream, NY 11580 Phone: 516-680-5245 | |
Jogesh Syalee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 260 W. Sunrise Hwy, Ste. 200, Valley Stream, NY 11581 Phone: 516-825-3600 Fax: 516-872-5137 |