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MR. WALLACE CARLISLE WATSON JR. PA
NPI 1073554150
Physician Assistant in Cuba, NY

Active since June 09, 2006
21 E MAIN ST, CUBA, NY 14727(585) 968-4357(585) 968-4356 Get Directions Write a Review

NPPES record last updated: May 28, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Wallace Carlisle Watson Jr. Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. WALLACE CARLISLE WATSON JR. PA (NPI 1073554150) is an individual physician assistant in Cuba, New York, licensed in New York (001255) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1073554150
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. WALLACE CARLISLE WATSON JR.Credential: PA
Location Address21 E MAIN STCuba, NY 14727-1205
Mailing Address2211 W State St, Suite 121Olean, NY 14760-1951 · (716) 372-2708 · Fax (716) 372-8682
Phone(585) 968-4357
Fax(585) 968-4356
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateMay 28, 2013
✔ NPI 1073554150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 001255
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 0012551 (NY)
21 E MAIN ST, Cuba, NY 14727
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Other Identifiers 6

Other000508499002NY · Bcwny
Other00010257702Univera
Other2598491Ghi
Medicaid01531593NY
Other407113852Railroad Medicare
Other0490352NY · Iha

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wallace Watson's NPI number?

The NPI number for Wallace Watson is 1073554150. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Wallace Watson located?

Wallace Watson practices at 21 E Main St, Cuba, NY 14727. The listed phone number is (585) 968-4357.

What is Wallace Watson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Wallace Watson was last updated on May 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.