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1679877419
THERESA WALSH
EAST ISLIP, NY
NPI
1679877419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 011621)
Enumeration Date
2011-01-10
Last Update Date
2011-01-10
Business Address
Ms. THERESA WALSH RPA-C
369 E MAIN ST SUITE 3
EAST ISLIP, NY 11730-2800
Phone number: 631-581-4500
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Mailing Address
Ms. THERESA WALSH RPA-C
369 E MAIN ST SUITE 3
EAST ISLIP, NY 11730-2800
Phone number: 631-581-4500
Copy
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