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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