Individual
WALTER JAMES GAUDINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3601 HEMPSTEAD TPKE STE 503, LEVITTOWN, NY 11756-1376
(516) 864-0557
(516) 864-0559
Mailing address
3601 HEMPSTEAD TPKE STE 503, LEVITTOWN, NY 11756-1376
(516) 864-0557
(516) 864-0559
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
185629-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01258511
—
NY
Enumeration date
03/09/2006
Last updated
05/16/2024
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