Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 223814 | NY |
NPI | 1003989211 |
---|---|
Provider Name | Dr. Marcella Donovan Walker |
First Address | New York, NY 10032-3725 |
Second Address | New York, NY 10032-3735 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02641069 | (05) | NY |
I28936 | (02) | NY |