Individual provider · Type 1 NPI

Gabrielle Nicole Walters, MS, PA-C

Surgical Physician Assistant · Patchogue, NY

NPI number 1619715562 Active

Practice location

101 Hospital Rd
Patchogue, NY 11772-4870

Call (631) 654-7100 Map

Mailing address

89 Hawthorne Rd
Rocky Point, NY 11778-8720

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1619715562

Gabrielle Nicole Walters, MS, PA-C's National Provider Identifier is 1619715562, issued on Jul 16, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Patchogue, NY. The record was last updated on Jul 16, 2024.