Provider Demographics
NPI:1427367374
Name:WATNIK, HARRY (CO)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:
Last Name:WATNIK
Suffix:
Gender:M
Credentials:CO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 CARMAN AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-6447
Mailing Address - Country:US
Mailing Address - Phone:516-333-7200
Mailing Address - Fax:
Practice Address - Street 1:813 CARMAN AVE UNIT A
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-6447
Practice Address - Country:US
Practice Address - Phone:516-333-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist