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Contact Information

WALDEN MEDICAL, PLLC
142 SOUTH MONTGOMERY ST
WALDEN, NY12586
 Phone: 845-778-5811
 Fax: 845-778-5564
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for WALDEN MEDICAL PLLC · (Female)

NPI Number 1568657005
Status Active
Credentials
Entity Individual
Enumeration date 09/07/2007
Last updated 09/07/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 007210
  • NY License # 117499
  • NY License # 304569
  • NY Medicaid 00373744
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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