Walter, Robert

Walter, Robert is an individual health care provider with primary practice located at 475 Seaview Ave , Staten Island NY 10305-3436. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Walter, Robert can be contacted via phone (718) 226-6279.

Contact Information

Primary practice address
475 Seaview Ave Staten Island NY 10305-3436
Phone: (718) 226-6279
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 175892 New York
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 175892 New York

Profile Details

NPI number 1649254632
LBN Legal business name Walter, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated May 6th, 2008 - about 16 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 1649254632 NPPES
New York MEDICAID 01533004
New York Other 260045141

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