Individual provider · Type 1 NPI

Petagay Walters

Specialist · Brooklyn, NY

NPI number 1154242535 Active

Practice location

1525 Newkirk Ave
Brooklyn, NY 11226-6523

Call (718) 287-5362 Map

Mailing address

1414 Avenue K
Brooklyn, NY 11210-4964

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1154242535

Petagay Walters's National Provider Identifier is 1154242535, issued on Jul 22, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 5, 2026.