Individual
BRIDGET WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-6050
Mailing address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-6050
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401759
NY
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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