Organization
NAQIY MEDICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL WALTERS M.D. (OWNER)
(515) 659-0967
Entity
Organization
Contact information
Practice address
3130 GRAND CONCOURSE, BRONX, NY 10458-1213
(516) 659-0967
Mailing address
3130 GRAND CONCOURSE, BRONX, NY 10458-1213
(516) 659-0967
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
116662
NY
Other
Enumeration date
02/26/2010
Last updated
04/06/2010
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