Individual provider · Type 1 NPI
Mary Raphael Walsh
Specialist · Garden City, NY
NPI number
1972383834
Active
Practice location
300 Garden City Plz # 3350
Garden City, NY 11530-3302
Mailing address
123 Franklin Ave
Malverne, NY 11565-1926
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 504264 (NY) |
| Specialist | 174400000X | None 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 1972383834
Mary Raphael Walsh's National Provider Identifier is 1972383834, issued on Sep 29, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Garden City, NY. The record was last updated on Sep 29, 2023.