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Kelly Heider-walsh
Specialist in Deer Park, New York
NPI 1497346605

Kelly Heider-walsh is a Specialist based in Selden, NY. Kelly Heider-walsh practices in Deer Park, NY. The NPI Number for Kelly Heider-walsh is 1497346605 and holds a License No. (New York).

The current practice location address for Kelly Heider-walsh is 1014 Grand Blvd Ste 5, Deer Park, NY and can be reached out via phone at 631-243-1765.

Location: 1014 Grand Blvd Ste 5, Deer Park, NY, 11784-2807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497346605
Provider Name
Kelly Heider-walsh
Credential
Provider Entity Type
Individual
Gender
Female
Address
1014 Grand Blvd Ste 5, Deer Park, NY, 11784-2807
Phone Number
631-243-1765
Fax Number
Provider Enumeration Date
01/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1014 Grand Blvd Ste 5
City
Deer Park
State
New York
Zip
11729-5782
Phone Number
631-243-1765
Fax Number
person
Provider Business Mailing Address Details
Address
1014 Grand Blvd Ste 5
City
Deer Park
State
New York
Zip
11729-5782
Phone Number
631-243-1765
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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