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Organization
WOMEN'S HEALTH PRACTICE LLC
Active
Organization
WOMEN'S HEALTH PRACTICE LLC
Active
Other names
Womens Health Practice
Organization subpart
No
Provider details
NPI number
Authorized official
EDLINE WALTERS MD (NURSE PRACTITIONER)
(646) 388-4702
Entity
Organization
Contact information
Practice address
436 FORT-WASHINGTON AVE, SUITE A, NEW YORK, NY 10033
(646) 388-4702
Mailing address
232 SEVEN SPRINGS MOUNTAIN RD, MONROE, NY 10950-2143
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
01/20/2014
Last updated
12/13/2017
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