Individual
DR. ELIZABETH REARDON WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
225721
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02380110
—
NY
01
—
7429371
AETNA US HEALTHCARE
—
01
—
7701666
MVP UPSTATE DHP
NY
01
—
MDH518
PREFERRED CARE
NY
01
—
P010225721
BLUE SHIELD OF ROCHESTER
NY
01
—
P010225721
EXCELLUS BLUE CHOICEE
—
01
—
RC60225721
POMCO
—
Enumeration date
09/14/2006
Last updated
11/20/2019
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