Alicia Waters

NPI #1821498148 in Mount Vernon, New York

Provider Information

NPI Number: 1821498148
Entity Type: Individual
Name: Alicia Waters
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 25, 2014
Last Updated: Jun 29, 2015

Practice Location

Address: 503 N FULTON AVE
City: Mount Vernon
State: New York
ZIP Code: 10552-1909
Phone: (914) 663-0423

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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