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KELLY HEIDER-WALSH
NPI 1497346605
Specialist in Deer Park, NY

Active since January 30, 2021
1014 GRAND BLVD STE 5, DEER PARK, NY 11729(631) 243-1765 Get Directions Write a Review

NPPES record last updated: January 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Heider-walsh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY HEIDER-WALSH (NPI 1497346605) is an individual specialist in Deer Park, New York and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1497346605
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKELLY HEIDER-WALSH
Location Address1014 GRAND BLVD STE 5Deer Park, NY 11729-5782
Mailing Address9 Willow StSelden, NY 11784-2807 · (516) 983-9845
Phone(631) 243-1765
Sole ProprietorYes
Enumeration DateJanuary 30, 2021
NPPES CertifiedJanuary 28, 2021
✔ NPI 1497346605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
1014 GRAND BLVD STE 5, Deer Park, NY 11729
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORGAN LEE FUSCO OTR
Occupational Therapist
1014 GRAND BLVD STE 5
DEER PARK, NY 11729
Suffolk County (631) 243-1765
DEBRA MARIE WILLLIAMS MS
Specialist
1014 GRAND BLVD STE 5
DEER PARK, NY 11729
Suffolk County (631) 243-1765
MAYAN ONEG BEROUKHIM OTR/L
Occupational Therapist
1014 GRAND BLVD STE 5
DEER PARK, NY 11729
Suffolk County (631) 243-1765
MRS. JULIE ROSE BILELLO
Specialist
1014 GRAND BLVD STE 5
DEER PARK, NY 11729
Suffolk County (631) 243-1765
RAFAEL ALMANZAR-PARAMIO OTR/L
Occupational Therapist
1014 GRAND BLVD STE 5
DEER PARK, NY 11729
Suffolk County (631) 243-1765
MELANIE SPITZ
Speech-Language Pathologist
1014 GRAND BLVD STE 5
DEER PARK, NY 11729
Suffolk County (631) 243-1765
ELANA JO SPAHN
Specialist
1014 GRAND BLVD STE 5
DEER PARK, NY 11729
Suffolk County (631) 243-1765
MRS. ELAINE ELIZABETH BOVA LMSW
Social Worker (School)
1014 GRAND BLVD STE 5
DEER PARK, NY 11729
Suffolk County (631) 243-1765

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Heider-walsh's NPI number?

The NPI number for Kelly Heider-walsh is 1497346605. It was assigned to this individual provider in the NPPES registry on January 30, 2021.

Where is Kelly Heider-walsh located?

Kelly Heider-walsh practices at 1014 Grand Blvd Ste 5, Deer Park, NY 11729. The listed phone number is (631) 243-1765.

What is Kelly Heider-walsh's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kelly Heider-walsh was last updated on January 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.