DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. THERESA A WATERS, D. O.

Active

DR. THERESA A WATERS, D. O. is a Cardiovascular Disease healthcare provider located in FAYETTEVILLE, New York. NPI 1629393202 is currently active in the NPPES registry. Verify at CMS.

Cardiovascular Disease · FAYETTEVILLE, NY

Registration Details

NPI Number
1629393202
Provider Type
Individual
Gender
Female
NPI Issued
Apr 7, 2010 (16.399266812963 yrs)
Last Updated
Sep 27, 2019
Licenses
61027 (NY)
285798 (NY)
285798 (NY)

Practice Information

Address
510 TOWNE DR
FAYETTEVILLE, NY, 130661331
Browse NY providers · Browse ZIP 13066
Phone
3156630500
Fax
3156630514
Primary Specialty
Cardiovascular Disease
207RC0000X
Additional Specialty
Cardiovascular Disease
Additional Specialty
Internal Medicine

Other Cardiovascular Disease Providers in FAYETTEVILLE, NY

Name Credential NPI
ZAEEM ANSARI M.D. 1780687392
MARK J CHARLAMB MD 1760480982
GREGORY G KENIEN MD 1770582843
CHRISTOPHER A NARDONE MD 1104825199
DR. ANDREW MICHAEL WEINBERG D.O. 1750572657
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.