Organization
CHARLES BRUCE WALSH, M.D. LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLEN CARROLL-MCLANE (OFFICE MANAGER)
(914) 636-3373
Entity
Organization
Contact information
Practice address
140 LOCKWOOD AVE, SUITE 103, NEW ROCHELLE, NY 10801-4915
(914) 636-3373
(914) 636-8726
Mailing address
140 LOCKWOOD AVE, SUITE 103, NEW ROCHELLE, NY 10801-4915
(914) 636-3373
(914) 636-8726
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
145593-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01019314
—
NY
01
—
0722H1
BCBS HOSPITAL
—
01
—
0722H2
BCBS OFFICE
NY
01
—
0D2758
HEALTHNET
NY
01
—
1447296
PHCS
NY
01
—
20041170
RAIL ROAD MEDICARE
—
01
—
217377P
HIP
NY
01
—
2473422002
CIGNA
NY
01
—
280733P
HIP
NY
01
—
413191
UNITED HEALTHCARE
—
01
—
4653869
AETNA
NY
01
—
MAGNACARE
11303
NY
01
—
WS807
OXFORD
NY
Enumeration date
10/02/2007
Last updated
04/20/2008
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