DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY HEIDER-WALSH

Active Sole Proprietor

KELLY HEIDER-WALSH is a Specialist healthcare provider located in DEER PARK, New York. NPI 1497346605 is currently active in the NPPES registry. Verify at CMS.

Specialist · DEER PARK, NY

Registration Details

NPI Number
1497346605
Provider Type
Individual
Gender
Female
NPI Issued
Jan 30, 2021 (5.5294449607901 yrs)
Last Updated
Jan 30, 2021
Sole Proprietor
Yes

Practice Information

Address
1014 GRAND BLVD STE 5
DEER PARK, NY, 117295782
Browse NY providers · Browse ZIP 11729
Phone
6312431765
Primary Specialty
Specialist
174400000X

Other Specialist Providers in DEER PARK, NY

Name Credential NPI
DR. NEIL JEFFREY MERLIS M.D. 1649298845
DEBRA MARIE WILLLIAMS MS 1013053156
DR. CHERYL L. MENDELSOHN PSYD 1265572994
BEVERLY BURNS MS., ED.M. 1356603468
MARY REX 1952664856
MRS. JOANN DOHERTY M.S. ED. 1255694972
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.