Individual
ALYSON WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 684-8024
Mailing address
951 PHYLLIS DR, BALDWIN, NY 11510-5047
(516) 508-2201
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10078074
PTCB
—
Enumeration date
10/31/2018
Last updated
10/31/2018
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