MS. Kathleen Walter, MSED
NPI #1043574908 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1043574908
- Entity Type
- Individual
- Name
- MS. Kathleen Walter, MSED
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- MSED
- Enumeration Date
- Jun 26, 2012
- Last Updated
- Jun 26, 2012
Practice Location
- Address
- 253 SAGAMORE HILLS DR
- State
- New York
- ZIP Code
- 11776-3553
- Phone
- (631) 828-8602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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