Individual
MRS. CYNTHIA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
35 MONTGOMERY ST, BRENTWOOD, NY 11717-3410
(631) 894-6624
(631) 357-3386
Mailing address
35 MONTGOMERY ST, BRENTWOOD, NY 11717-3410
(631) 894-6624
(631) 357-3386
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
274631-1
NY
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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