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Nichole Wallace, PA
NPI 1114379708 · on the registry since 2016
Practice
- Address
- 760 Broadway
Brooklyn, NY 11206 - Phone
- (718) 312-2312
- Organisation at this address
- Woodhull
Hone Soo Kaw
Woodhull Hospital
Woodhull Hospital
Woodhull HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 809
Additional practice sites
- 10959 W Colonial Dr, Ocoee, FL
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Sex
- Female
- Record last updated
- 2023-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York