| Doctor Name: | DR. MARY BETH WALSH |
| NPI Number: | 1558321356 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 124527 |
| Business Practice Address: | 785 Mamaroneck Ave White Plains, NY - 106052523 |
| Business Phone Number: | 9145972500 |
| Business Fax Number: | 9145972439 |
| Mailing Address: | 53 Duxbury Rd, PURCHASE |
| State: | NY |
| Postal Code: | 105771801 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/24/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 124527 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |