Individual
DANIEL M WALZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 COMMUNITY DR, DEPT. OF RADIOLOGY, MANHASSET, NY 11030-3816
(516) 562-4084
Mailing address
24 MADISON ST, PORT WASHINGTON, NY 11050-3235
(516) 562-4084
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
231173
MA
2085R0202X
Diagnostic Radiology Physician
Primary
248297
NY
2085R0202X
Diagnostic Radiology Physician
MD12428
RI
Other
Enumeration date
04/25/2007
Last updated
10/02/2008
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