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Provider Detail for 1376913731
ERIK WALTER, PA-C
Gender: M
Mailing Address:
434 UNION BLVD
WEST ISLIP, NY 11795-3104
Phone: 631-238-3067
Fax: 631-458-1041
Physical Address:
434 UNION BLVD
WEST ISLIP, NY 11795
Phone: 631-238-3067
Fax: 631-458-1041
Taxonomy
Physician Assistants & Advanced Practice Nursing Providers/Physician Assistant
State: NY License: P99582
Physician Assistants & Advanced Practice Nursing Providers/Physician Assistant
(Primary Specialty)
State: NY License: 23 019235
Last Update: 07/18/2018
Provider Enrollment, Chain and Ownership System (PECOS)
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This NPI is eligible to order and refer in the Medicare program - they have a record in the PECOS database (click here for more info). |
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