Provider Demographics
NPI:1013529478
Name:NARROW PATH FAMILY HEALTH NP PC
Entity Type:Organization
Organization Name:NARROW PATH FAMILY HEALTH NP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:AVION
Authorized Official - Middle Name:JACQUELINE
Authorized Official - Last Name:THOMAS-WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:845-548-2515
Mailing Address - Street 1:90 STATE ST STE 700
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12207-1707
Mailing Address - Country:US
Mailing Address - Phone:845-548-2515
Mailing Address - Fax:
Practice Address - Street 1:158 PIKE ST
Practice Address - Street 2:
Practice Address - City:PORT JERVIS
Practice Address - State:NY
Practice Address - Zip Code:12771-1800
Practice Address - Country:US
Practice Address - Phone:845-548-2515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty