Individual
BRENDA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
270 1ST AVE, 9F, NEW YORK, NY 10009-2619
(917) 922-5087
Mailing address
270 1ST AVE, 9F, NEW YORK, NY 10009-2619
(917) 922-5087
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PHY003061-1
NY
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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