National Provider Identifier
Kristie Marie Dewaters
Kristie Marie Dewaters is listed in the NPPES registry with a primary specialty of Specialist in Canandaigua, NY and a listed phone number of (585) 394-2000.
Source: public NPPES record, last updated July 03, 2008. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1932362449
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- July 03, 2008
- Last Updated
- July 03, 2008
Practice Location
- 400 Fort Hill Ave
- Canandaigua, NY 14424-1159
Phone: (585) 394-2000
Mailing Address
- 1164 Roosevelt Hwy
- Hilton, NY 14468-9757
Specialties
- Specialist (174400000X)
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Biography
The NPPES record for Kristie Marie Dewaters lists Specialist as the primary taxonomy and Canandaigua, NY as the practice location.
Full Record
- NPI
- 1932362449
- Entity Type
- Individual
- Last Name
- Dewaters
- First Name
- Kristie
- Middle Name
- Marie
- Name Prefix
- Miss
- Mailing Street Address
- 1164 Roosevelt Hwy
- Mailing City
- Hilton
- Mailing State
- NY
- Mailing ZIP Code
- 14468-9757
- Mailing Country
- US
- Mailing Phone
- (585) 747-8915
- Practice Street Address
- 400 Fort Hill Ave
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1159
- Practice Country
- US
- Practice Phone
- (585) 394-2000
- Enumeration Date
- July 03, 2008
- Last Updated
- July 03, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomies
- Specialist (174400000X)