Individual
MS. ANNE-MARIE CHANTELLE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-1517
Mailing address
532 S 7TH AVE, MOUNT VERNON, NY 10550-4415
(914) 844-6628
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008504-1
NY
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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