Individual
NEISHELLE DIONNE WALCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1086 LONG RIDGE RD, STAMFORD, CT 06903-4404
(203) 274-7426
(203) 720-6550
Mailing address
1086 LONG RIDGE RD, STAMFORD, CT 06903-4404
(203) 274-7426
(203) 720-6550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014488-1
NY
Other
Enumeration date
04/18/2011
Last updated
07/21/2025
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