Individual
AMY RACHEL WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPAC
Contact information
Practice address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
(631) 687-4285
Mailing address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
(631) 687-4285
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012877
NY
Other
Enumeration date
11/04/2008
Last updated
09/15/2015
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