Wal-Mart Stores East. Lp

Specialty details in registry · Valley Stream, NY

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At a glance

77 Green Acres Rd, Valley Stream, NY 11581-1008

NPPES record updated Mar 26, 2014. Public records can lag behind changes at a practice.

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Practice location

77 Green Acres Rd
Valley Stream, NY 11581-1008
Professional details: NPI, taxonomy & registry record
NPI1033542907
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
332H00000X
Enumeration date
Aug 15, 2013
Record updated
Mar 26, 2014
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

156FX1800X

Specialty details in registry

332H00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

77 Green Acres Rd
Valley Stream, NY 11581-1008
Phone
(516) 887-0127
Mailing address
702 SW 8TH ST

BENTONVILLE, AR 727160445
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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