Provider Demographics
NPI:1346529898
Name:WALSH, ANNE ROSE (NP)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:ROSE
Last Name:WALSH
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Gender:F
Credentials:NP
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Mailing Address - Street 1:600 COMMUNITY DR STE 400
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-3802
Mailing Address - Country:US
Mailing Address - Phone:516-876-4100
Mailing Address - Fax:516-876-4101
Practice Address - Street 1:1983 MARCUS AVE
Practice Address - Street 2:SUITE C102
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-2000
Practice Address - Country:US
Practice Address - Phone:516-876-4100
Practice Address - Fax:516-876-4101
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-15
Last Update Date:2021-03-16
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Provider Licenses
StateLicense IDTaxonomies
NYF305835363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health