=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669871976
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEVILLE E. WALKER, D.O., P.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/22/2014
-----------------------------------------------------
Last Update Date | 07/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 526 ALTAMONT AVE
-----------------------------------------------------
City | SCHENECTADY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12303-1039
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 518-400-0399
-----------------------------------------------------
Fax | 518-533-6065
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 444
-----------------------------------------------------
City | GUILDERLAND
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12084-0444
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 518-400-0399
-----------------------------------------------------
Fax | 518-533-6065
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DO/OWNER
-----------------------------------------------------
Name | NEVILLE EARL WALKER
-----------------------------------------------------
Credential | DO
-----------------------------------------------------
Telephone | 518-400-0399
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208100000X
-----------------------------------------------------
Taxonomy Name | Physical Medicine & Rehabilitation Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------