Provider Demographics
NPI:1609130236
Name:WATSON, IONA HYACINTH (MS ED)
Entity Type:Individual
Prefix:MRS
First Name:IONA
Middle Name:HYACINTH
Last Name:WATSON
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:MISS
Other - First Name:IONA
Other - Middle Name:HYACINTH
Other - Last Name:BURKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1075 E 85TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-4229
Mailing Address - Country:US
Mailing Address - Phone:718-209-9777
Mailing Address - Fax:347-554-8855
Practice Address - Street 1:1075 E 85TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-4229
Practice Address - Country:US
Practice Address - Phone:718-209-9777
Practice Address - Fax:347-554-8855
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-28
Last Update Date:2012-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist