Healthcare Provider Details

I. General information

NPI: 1487841300
Provider Name (Legal Business Name): GUOMEI HUAN WALSH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2007
Last Update Date: 09/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GUSTAVE L LEVY PL DEPARTMENT OF OTOLARYNGOLOGY, BOX 1191
NEW YORK NY
10029-6500
US

IV. Provider business mailing address

ONE GUSTAVE L. LEVY PLACE, BOX 1191 MOUNT SINAI HOSPITA
NEW YORK NY
10029-6574
US

V. Phone/Fax

Practice location:
  • Phone: 212-241-2259
  • Fax:
Mailing address:
  • Phone: 212-241-2259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number30304722
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code364SG0600X
TaxonomyGerontology Clinical Nurse Specialist
License Number34340681
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: