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Organization

WHOLE HEALTHY FAMILY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANA LYN WALTERS DC (PRESIDENT)
(516) 221-1212
Entity
Organization

Contact information

Practice address
2874 MERRICK RD, BELLMORE, NY 11710-5726
(516) 221-1212
(516) 221-1292
Mailing address
2874 MERRICK RD, BELLMORE, NY 11710-5726
(516) 221-1212
(516) 221-1292

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
193423
NY
363A00000X
Physician Assistant
012786
NY

Other

Enumeration date
03/13/2013
Last updated
03/13/2013
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