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1003968132
JOEL LA WATSON
BETHPAGE, NY
NPI
1003968132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 008600)
Enumeration Date
2007-01-17
Last Update Date
2007-07-08
Business Address
-- JOEL LA WATSON P.A
4295 HEMPSTEAD TPKE
BETHPAGE, NY 11714-5713
Phone number: 516-579-6000
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Mailing Address
-- JOEL LA WATSON P.A
21 CROWELL ST
HEMPSTEAD, NY 11550-5113
Phone number: 516-538-8697
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