CHARLES BRUCE WALSH M.D. LLP NPI 1033306121

NPI Information

NPI: 1033306121
Provider Name: CHARLES BRUCE WALSH, M.D. LLP
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
140 LOCKWOOD AVE
SUITE 103
NEW ROCHELLE, NY
ZIP 10801
Phone: (914) 636-3373
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CHARLES BRUCE WALSH, M.D. LLP is a specialist in New Rochelle, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CHARLES BRUCE WALSH, M.D. LLP NPI is 1033306121. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

140 LOCKWOOD AVE
SUITE 103
NEW ROCHELLE, NY
ZIP 10801-915
Phone: (914) 636-3373
Fax: (914) 636-8726

The provider's authorized official is Ellen Carroll-mclane .
The authorized official title is Office Manager and has the following contact phone number (914) 636-3373.

The enumeration date for this NPI number is 10/2/2007 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		145593-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0722H1	OTHER		BCBS HOSPITAL
2	20041170	OTHER		RAIL ROAD MEDICARE
3	0722H2	OTHER	NEW YORK	BCBS OFFICE
4	217377P	OTHER	NEW YORK	HIP
5	=========	OTHER	NEW YORK	POMCO
6	0D2758	OTHER	NEW YORK	HEALTHNET
7	WS807	OTHER	NEW YORK	OXFORD
8	2473422002	OTHER	NEW YORK	CIGNA
9	01019314	MEDICAID	NEW YORK
10	WEJ871	MEDICARE PIN	NEW YORK
11	MAGNACARE	OTHER	NEW YORK	11303
12	4653869	OTHER	NEW YORK	AETNA
13	96D991	MEDICARE UPIN	NEW YORK
14	413191	OTHER		UNITED HEALTHCARE
15	1447296	OTHER	NEW YORK	PHCS
16	280733P	OTHER	NEW YORK	HIP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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