Individual
FARISHA WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 OLDWYCK CRES, HIGHLAND MILLS, NY 10930-8311
(914) 424-9816
(845) 827-5205
Mailing address
1 OLDWYCK CRES, HIGHLAND MILLS, NY 10930-8311
(914) 424-9816
(845) 827-5205
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
#12-1002
NY
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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