Individual
COLLEEN WALSH-IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 266-6047
(631) 754-7968
Mailing address
195 CEDRUS AVE, EAST NORTHPORT, NY 11731-4414
(631) 368-6998
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F301388-1
NY
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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