Individual
MR. RODRICK ANTHONY WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
970 MARCEL RD, BALDWIN, NY 11510-5039
(716) 613-4295
Mailing address
970 MARCEL RD, BALDWIN, NY 11510-5039
(718) 613-4195
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
689235
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404126
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
689235
RN LICENSE
NY
Enumeration date
10/20/2014
Last updated
10/23/2025
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