MARY RAPHAEL WALSH
NPI 1972383834
Specialist in Garden City, NY

Active since September 29, 2023
300 GARDEN CITY PLZ # 3350, GARDEN CITY, NY 11530(516) 747-9030 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Specialist

About MARY WALSH

This page provides the complete NPI Profile along with additional information for Mary Walsh, a provider established in Garden City, New York with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1972383834 assigned on September 2023. The practitioner's primary taxonomy code is 174400000X with license number 504264 (NY). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1972383834 Verify this NPI
Provider Name
MARY RAPHAEL WALSH
Gender
Female
Entity Type
Individual
Location Address
300 GARDEN CITY PLZ # 3350 GARDEN CITY, NY 11530
Location Phone
(516) 747-9030
Mailing Address
123 FRANKLIN AVE MALVERNE, NY 11565
Mailing Phone
(347) 319-2103
Is Sole Proprietor?
No
Enumeration Date
09-29-2023
Last Update Date
09-29-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
504264
License State
NY
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972383834, enumerated as an "individual" on September 29, 2023.

The provider is located at 300 GARDEN CITY PLZ # 3350 GARDEN CITY, NY 11530 and the phone number is (516) 747-9030.

Specialist with taxonomy code 174400000X.