Individual
ALEXANDER WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
88 JANSEN RD, PINE BUSH, NY 12566-5609
(845) 551-7258
Mailing address
88 JANSEN RD, PINE BUSH, NY 12566-5609
(845) 551-7258
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
348595
NY
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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