Individual
DR. DANIEL PATRICK WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
544 S MAIN ST, CENTRAL SQUARE, NY 13036-9779
(315) 668-3248
(315) 676-3796
Mailing address
544 S MAIN ST ROUTE 11, P.O. BOX 893, CENTRAL SQUARE, NY 13036-9502
(315) 668-3248
(315) 676-3796
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010102-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010110102
BCBS
NY
05
—
02421612
—
NY
01
—
10054140
CDPHP
NY
01
—
161609946
POMCO
NY
01
—
5323798
CIGNA
NY
01
—
5897918
GHI
NY
01
—
7455427
AETNA
NY
01
—
C10102-4B
ALL WORKERS COMPENSATION
NY
01
—
NY10102
LANDMARK
NY
01
—
P-11213126
MULTIPLAN
NY
01
—
X010102
ALL NO FAULT
NY
Enumeration date
09/22/2006
Last updated
12/23/2011
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