PAUL F WATERS MD LLC
Radiology at 12 St, New York, NY

License number
New York 213723
Category
Radiology
Type
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Owner
Name: JEANNINE RACITI MD
Title: BILLING MANAGER
Phone: (914) 771-7335
Address
Address 2
170 W 12Th St, New York, NY 10011
55 Mamaroneck Rd, Scarsdale, NY 10583
National Provider ID: 1750313458
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PAUL F. WATERS, MD LLC

55 Mamaroneck Rd, Scarsdale, NY 10583

Doing business as:
PAUL F. WATERS, M.D., LLC
Registration:
Feb 5, 2013
State ID:
1097417
Business type:
Foreign Limited Liability Company
Entity State:
NJ
President:
Md Paul F. Waters (President), 77 Lafayette Pl SUITE 302, Greenwich, CT 06830 (Mailing)
55 Mamaroneck Rd, Scarsdale, NY 10583 (Physical)
Agent:
Secretary Of The State,30 Trinity St, Hartford, CT 06106 (Mailing)

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