Canonical ID: NK-968EeFYCXR3iNDkrMLivNv
· Entity type: LegalEntity
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
LegalEntity:address | 215 FOX HILL RUN, ROCK TAVERN, NY 12575 | eng | us_nj_med_exclusions | us-mednj-7e6f40fbbfe5d7ae061ec1c1829eeae35bf71d1b | |||
LegalEntity:addressEntity | addr-21ca4c85017db572bb88c71ba3c7de45042af79b | eng | us_nj_med_exclusions | us-mednj-7e6f40fbbfe5d7ae061ec1c1829eeae35bf71d1b | |||
LegalEntity:country | us | eng | us_nj_med_exclusions | us-mednj-7e6f40fbbfe5d7ae061ec1c1829eeae35bf71d1b | |||
LegalEntity:country | us | eng | us_ny_med_exclusions | us-medny-5124eef9398a81476547f74a1493486319203e4f | |||
LegalEntity:id | 5228a224d8c84a2e9f5d01807c0fbebd030fa824 | eng | us_nj_med_exclusions | us-mednj-7e6f40fbbfe5d7ae061ec1c1829eeae35bf71d1b | |||
LegalEntity:id | 6aff4662cbc79a1ad35b03cf991546df94a20454 | eng | us_ny_med_exclusions | us-medny-5124eef9398a81476547f74a1493486319203e4f | |||
LegalEntity:idNumber | 00115662 | eng | us_ny_med_exclusions | us-medny-5124eef9398a81476547f74a1493486319203e4f | |||
LegalEntity:name | WALTERS, SAMUEL R. | eng | us_nj_med_exclusions | us-mednj-7e6f40fbbfe5d7ae061ec1c1829eeae35bf71d1b | |||
LegalEntity:name | WALTERS SAMUEL R MD | eng | us_ny_med_exclusions | us-medny-5124eef9398a81476547f74a1493486319203e4f | |||
LegalEntity:npiCode | 1144368606 | eng | us_nj_med_exclusions | us-mednj-7e6f40fbbfe5d7ae061ec1c1829eeae35bf71d1b | |||
LegalEntity:npiCode | 1144368606 | eng | us_ny_med_exclusions | us-medny-5124eef9398a81476547f74a1493486319203e4f | |||
LegalEntity:sector | MD | eng | us_nj_med_exclusions | us-mednj-7e6f40fbbfe5d7ae061ec1c1829eeae35bf71d1b | |||
LegalEntity:sector | Physician | eng | us_ny_med_exclusions | us-medny-5124eef9398a81476547f74a1493486319203e4f | |||
LegalEntity:topics | debarment | eng | us_ny_med_exclusions | us-medny-5124eef9398a81476547f74a1493486319203e4f | |||
LegalEntity:topics | debarment | eng | us_nj_med_exclusions | us-mednj-7e6f40fbbfe5d7ae061ec1c1829eeae35bf71d1b |