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1154917623
TREVOR EMMANUEL WATSON
ELMHURST, NY
NPI
1154917623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NY F346745-01)
Enumeration Date
2020-12-17
Last Update Date
2023-01-04
Business Address
MR. TREVOR EMMANUEL WATSON FNP
7901 BROADWAY # D1-05
ELMHURST, NY 11373-1329
Phone number: 718-334-2488
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Mailing Address
MR. TREVOR EMMANUEL WATSON FNP
7901 BROADWAY # D1-05
ELMHURST, NY 11373-1329
Phone number: 718-334-2488
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