NPI 1023032760

Laurie Waters, PA

Practitioner Physician Assistant West Islip, NY

Practice location

Address: 1000 Montauk Hwy, West Islip, NY 11795-4927
Phone: (631) 376-3000
Mailing address: PO Box 6010, Hauppauge, NY 11788-9010

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1060114 (NY)

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Registry record

NPI: 1023032760
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jul 2006
Record last updated: 29 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.