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General NPI Number Information
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NPI Number | 1841390689
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Entity Type | Individual
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Provider Name | DANIEL PATRICK WALSH DC
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Gender | Male
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 12/23/2011
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Provider Practice Location Address
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Address Line | 544 S MAIN ST
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City | CENTRAL SQUARE
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State | NY
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Zip | 13036-9779
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Country | US
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Telephone | 315-668-3248
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Fax | 315-676-3796
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Provider Business Mailing Address
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Address Line | 544 S MAIN ST ROUTE 11 P.O. BOX 893
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City | CENTRAL SQUARE
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State | NY
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Zip | 13036-9502
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Country | US
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Telephone | 315-668-3248
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Fax | 315-676-3796
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X010102-1
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License Number State | NY
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