Provider Demographics
NPI:1609603463
Name:WATSON, NATALIE ANTOINETTE (SPED 1-6, 9-12)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:ANTOINETTE
Last Name:WATSON
Suffix:
Gender:F
Credentials:SPED 1-6, 9-12
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1265 E 86TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-4927
Mailing Address - Country:US
Mailing Address - Phone:347-564-1023
Mailing Address - Fax:
Practice Address - Street 1:1265 E 86TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-4927
Practice Address - Country:US
Practice Address - Phone:347-564-1023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0919846174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist