Individual
CORINNA WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 RICHMOND BLVD UNIT 1A, RONKONKOMA, NY 11779-3646
(631) 793-6075
Mailing address
77 RICHMOND BLVD UNIT 1A, RONKONKOMA, NY 11779-3646
(631) 793-6075
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
401094-01
NY
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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