Individual
EILEEN WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
175 E. MAIN STREET, SUITE 104, HUNTINGTON, NY 11743
(631) 424-3787
(631) 424-5868
Mailing address
175 E. MAIN STREET, SUITE 104, HUNTINGTON, NY 11743
(631) 424-3787
(631) 424-5868
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3521831
NY
Other
Enumeration date
11/08/2006
Last updated
10/06/2011
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