William Walsh

Individual provider Active NPI Registered Nurse · Stone Ridge, NY

NPI 1225348014 · NPPES record last updated Oct 14, 2010

Key facts

NPI
1225348014
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
617989 (NY)
Practice address
248 Vly Atwood Rd
Stone Ridge, NY 12484-5235
Phone
(518) 437-0152
NPI assigned
Oct 14, 2010
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
617989NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 617989 NY Yes

Addresses

Primary practice location

248 Vly Atwood Rd
Stone Ridge, NY 12484-5235

Mailing address

248 Vly Atwood Rd
Stone Ridge, NY 12484-5235

Other providers in Stone Ridge, NY

All providers in Stone Ridge, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.