Woodley, Walter
Woodley, Walter is an individual health care provider with primary practice located at 1 Family Practice Dr , Kingston NY 12401-6449. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Woodley, Walter can be contacted via phone (845) 338-6400.Contact Information
Primary practice address
1 Family Practice Dr
Kingston NY 12401-6449
Phone: (845) 338-6400
Fax: (845) 339-7288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 170628 | New York |
Profile Details
| NPI number | 1427008663 |
|---|---|
| LBN Legal business name | Woodley, Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Aug 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427008663 | NPPES |
| New York | MEDICAID | 01069603 |
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