Provider Demographics
NPI:1255344933
Name:WALKER, DAVID A (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:WALKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1037 MAIN ST
Mailing Address - Street 2:HUDSON RIVER HEALTHCARE, INC.
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2913
Mailing Address - Country:US
Mailing Address - Phone:914-734-8858
Mailing Address - Fax:914-734-8786
Practice Address - Street 1:11 PILCH STREET
Practice Address - Street 2:HUDSON RIVER HEALTHCARE, INC.
Practice Address - City:PINE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:12567-5657
Practice Address - Country:US
Practice Address - Phone:518-398-1100
Practice Address - Fax:518-398-7108
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2012-02-15
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Provider Licenses
StateLicense IDTaxonomies
NY236194207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00473038Medicaid
NYA400022174Medicare PIN