Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | 258331 | NY |
NPI | 1992966949 |
---|---|
Provider Name | Dr. Heather Marie Walters |
First Address | New Hyde Park, NY 11042-2057 |
Second Address | New Hyde Park, NY 11042-2057 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2008 |
Last Update Date | 20/10/2015 |