Individual
DR. DERRICK TOLBERT-WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
603 W 148TH ST, 7B, NEW YORK, NY 10031-3130
(917) 239-0168
(212) 245-0915
Mailing address
603 W 148TH ST, 7B, NEW YORK, NY 10031-3130
(917) 239-0168
(212) 245-0915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
203716
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01714332
—
NY
Enumeration date
08/04/2006
Last updated
01/22/2015
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