Individual
JASON WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OWNER
Contact information
Practice address
51 LEROY PL APT 23, NEWBURGH, NY 12550-3627
(845) 375-5545
Mailing address
51 LEROY PL APT 23, NEWBURGH, NY 12550-3627
(845) 375-5545
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
611417496
NY
343900000X
Non-emergency Medical Transport (VAN)
611471496
NY
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
04/06/2022
Last updated
08/06/2024
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