Individual
WALKER MAINWARING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11835 QUEENS BLVD LOWR LEVE, FOREST HILLS, NY 11375-7200
(212) 283-3000
Mailing address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 476-2000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
329828
NY
Other
Enumeration date
03/29/2020
Last updated
07/09/2024
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