Doctor Name: | MICHAEL ROBERT WATTS |
NPI Number: | 1194023275 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMT,CKTP |
License Number: | 020963 |
Business Practice Address: | 704 Beach Rd Cheektowaga, NY - 142251756 |
Business Phone Number: | 7163087192 |
Business Fax Number: | 7166322492 |
Mailing Address: | 704 Beach Rd, CHEEKTOWAGA |
State: | NY |
Postal Code: | 142251756 |
Phone Number: | 7163087192 |
Fax Number: | 7166322492 |
NPI Enumeration Date: | 03/14/2011 |
NPI Last Update Date: | 03/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 020963 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |