Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 304475 | NY |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 304475 | NY |
NPI | 1043637952 |
---|---|
Provider Name | Amanda Leigh Walsh |
First Address | New York, NY 10029-6501 |
Second Address | New York, NY 10029-6501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2014 |
Last Update Date | 06/05/2020 |