Doctor Name: | MS. MARIA M. WALKER |
NPI Number: | 1629491428 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OPHTHALMIC DISPENSER |
License Number: | 009572 |
Business Practice Address: | 181 Washington St Tappan, NY - 109832509 |
Business Phone Number: | 8455989838 |
Business Fax Number: | |
Mailing Address: | 181 Washington St, TAPPAN |
State: | NY |
Postal Code: | 109832509 |
Phone Number: | 8455989838 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2014 |
NPI Last Update Date: | 01/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 009572 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |