Nieves, Walter Leo

Nieves, Walter Leo is an sole proprietor health care provider with primary practice located at 11 N Airmont Rd Ste 10, Suffern NY 10901-5103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Nieves, Walter Leo can be contacted via phone (845) 357-5525.

Contact Information

Primary practice address
11 N Airmont Rd Ste 10 Suffern NY 10901-5103
Phone: (845) 357-5525
Fax: (845) 357-1613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 132973 New York

Profile Details

NPI number 1740206440
LBN Legal business name Nieves, Walter Leo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Nov 1st, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740206440 NPPES
New York MEDICAID 00483358
New York Other CPN-N 227967

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