Walker, Edward Martin
Walker, Edward Martin is an sole proprietor health care provider with primary practice located at 817 Chestnut Ridge Rd Fl 2 , Chestnut Ridge NY 10977-6314. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Walker, Edward Martin can be contacted via phone (917) 679-6764.Contact Information
Primary practice address
817 Chestnut Ridge Rd Fl 2
Chestnut Ridge NY 10977-6314
Phone: (917) 679-6764
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 12624 | New York |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 012624-1 | New York |
Profile Details
| NPI number | 1083620660 |
|---|---|
| LBN Legal business name | Walker, Edward Martin |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2006 |
| Last updated | May 16th, 2019 - about 7 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 | 1083620660 | NPPES |
| New York | MEDICAID | 01631167 |
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