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Organization
WALDEN MEDICAL, PLLC
Active
Organization
WALDEN MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANKLIN P GUNERATNE M.D. (OWNER)
(845) 778-5811
Entity
Organization
Contact information
Practice address
142 SOUTH MONTGOMERY ST, WALDEN, NY 12586
(845) 778-5811
(845) 778-5564
Mailing address
142 SOUTH MONTGOMERY ST, WALDEN, NY 12586
(845) 778-5811
(845) 778-5564
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
117499
NY
363A00000X
Physician Assistant
007210
NY
363L00000X
Nurse Practitioner
304569
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00373744
—
NY
Enumeration date
09/07/2007
Last updated
09/07/2007
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