Walsh, John Stephen

Walsh, John Stephen is an individual health care provider with primary practice located at 369 East Main Street Suite 3, East Islip NY 11730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Walsh, John Stephen can be contacted via phone (631) 381-4500.

Contact Information

Primary practice address
369 East Main Street Suite 3 East Islip NY 11730
Fax: (631) 581-5905
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 210572 New York

Profile Details

NPI number 1033131883
LBN Legal business name Walsh, John Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1033131883 NPPES
New York MEDICAID 01871796

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