Provider Demographics
NPI:1457242984
Name:WATKINS, ROCKY LEE
Entity type:Individual
Prefix:
First Name:ROCKY
Middle Name:LEE
Last Name:WATKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 LANGDON LN # 2
Mailing Address - Street 2:
Mailing Address - City:WALDEN
Mailing Address - State:NY
Mailing Address - Zip Code:12586-2438
Mailing Address - Country:US
Mailing Address - Phone:845-324-2293
Mailing Address - Fax:
Practice Address - Street 1:3 LANGDON LN # 2
Practice Address - Street 2:
Practice Address - City:WALDEN
Practice Address - State:NY
Practice Address - Zip Code:12586-2438
Practice Address - Country:US
Practice Address - Phone:845-324-2293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-12
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty