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
Fax: (845) 339-7288
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427008663 NPPES
New York MEDICAID 01069603

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