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Mary Raphael Walsh
Specialist in Garden City, New York
NPI 1972383834

Mary Raphael Walsh is a Specialist based in Malverne, NY. Mary Raphael Walsh practices in Garden City, NY. The NPI Number for Mary Raphael Walsh is 1972383834 and holds a License No. 504264 (New York).

The current practice location address for Mary Raphael Walsh is 300 Garden City Plz # 3350, Garden City, NY and can be reached out via phone at 516-747-9030.

Location: 300 Garden City Plz # 3350, Garden City, NY, 11565-1926
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972383834
Provider Name
Mary Raphael Walsh
Credential
Provider Entity Type
Individual
Gender
Female
Address
300 Garden City Plz # 3350, Garden City, NY, 11565-1926
Phone Number
516-747-9030
Fax Number
Provider Enumeration Date
09/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 Garden City Plz # 3350
City
Garden City
State
New York
Zip
11530-3302
Phone Number
516-747-9030
Fax Number
person
Provider Business Mailing Address Details
Address
300 Garden City Plz # 3350
City
Garden City
State
New York
Zip
11530-3302
Phone Number
516-747-9030
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
504264 (New York)
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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