Water Street West Integrative Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

222016 Issued in NY

Legal business name

WATER STREET WEST INTEGRATIVE MEDICINE, PLLC

Practice address

160 N Main St Ste 130
Elmira, NY 14901-2939

Phone

(607) 767-6893

Fax

(866) 453-2143

NPI assigned

Dec 22, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph Francis Haluska, D.O.NPI 1447260740

Title

Medical Director

Phone

(607) 767-6893

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Haluska, DO

  • Family Medicine Physician
  • Elmira, NY
  • NPI 1447260740
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1356886683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N MAIN ST STE 130",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012939",
            "telephone_number": "607-767-6893",
            "fax_number": "866-453-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N MAIN ST STE 130",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012939",
            "telephone_number": "607-767-6893",
            "fax_number": "866-453-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATER STREET WEST INTEGRATIVE MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "HALUSKA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "607-767-6893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "222016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Ellen Waring-Harrison, OT
• Robin Warman
• Fnu Washdave, MD
• Saudia Washington
• Katherine Ann Watches, OTR/L
• Beth Ann Watkins, RN
• Bonnie Lou Watkins, RN
• Michelle Watkins
• Sarah Elizabeth Watson, MS, OTR/L, ATC/L
• Mary Beth Wayne, PT CHT

• Family Medicine Physician in Elmira, NY
• Providers in Elmira, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.