Individual
WALTER WAHL
Active
Individual
WALTER WAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
149920-1
NY
2084P0800X
Psychiatry Physician
Primary
149920-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00816344
—
NY
Enumeration date
07/11/2006
Last updated
01/30/2019
Update your record
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