Individual
SHATARA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.T
Contact information
Practice address
6860 BENEDICT RD, EAST SYRACUSE, NY 13057-9311
(607) 222-6161
Mailing address
6860 BENEDICT RD, EAST SYRACUSE, NY 13057-9311
(607) 222-6161
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
934246151
NY
Other
Enumeration date
09/11/2015
Last updated
11/28/2023
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