Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

BETSY B WATERMAN PHD
NPI 1093709107
Medical Genetics, Ph.D. Medical Genetics in Pulaski, NY

Active since September 02, 2005
61 DELANO ST, PULASKI, NY 13142(315) 298-6569(315) 298-7488 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Betsy B Waterman Phd NPPES

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

BETSY B WATERMAN PHD (NPI 1093709107) is an individual medical genetics, ph.d. medical genetics provider in Pulaski, New York, licensed in New York (012184) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1093709107
Entity TypeIndividualFemale
Primary Taxonomy170100000X
Provider Legal NameBETSY B WATERMANCredential: PHD
Location Address61 DELANO STPulaski, NY 13142-1400
Mailing Address61 Delano StPulaski, NY 13142-1400 · (315) 298-6569 · Fax (315) 298-7488
Fax(315) 298-7488
Sole ProprietorNo
Enumeration DateSeptember 2, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1093709107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMedical Genetics, Ph.D. Medical GeneticsOther Service Providers
Taxonomy Code170100000X
License Licensed in NY · 012184
Definition

A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.

61 DELANO ST, Pulaski, NY 13142

Other Identifiers 3

Medicaid00012184NY
Medicaid00307662NY
Other331880NY · Fqhc Number

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
61 DELANO ST
PULASKI, NY 13142
Dentist (General Practice)
61 DELANO ST
PULASKI, NY 13142
Physician Assistant (Medical)
61 DELANO ST
PULASKI, NY 13142
Dentist (General Practice)
61 DELANO ST
PULASKI, NY 13142
Dental Hygienist
61 DELANO ST
PULASKI, NY 13142
Dental Hygienist
61 DELANO ST
PULASKI, NY 13142
Dental Hygienist
61 DELANO ST
PULASKI, NY 13142
Registered Nurse
61 DELANO ST
PULASKI, NY 13142

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093709107, enumerated as an "individual" on September 02, 2005.

The provider is located at 61 DELANO ST PULASKI, NY 13142 and the phone number is (315) 298-6569.

Medical Genetics, Ph.D. Medical Genetics with taxonomy code 170100000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.