MARY RAPHAEL WALSH
NPI 1972383834
Specialist in Garden City, NY
- 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
- Code Navigator
Location Map
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) |
|---|---|---|---|---|
| 1 | 174400000X | Other 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.