SearchNew York363LN0000X

Jean Wallace, NP

NPI 1144480088 · on the registry since 2008 · sole proprietor

Practice

Address
300 Community Dr
Manhasset, NY 11030
Phone
(516) 562-4665
Organisation at this address
North Shore Lij
Nslij Manhassett
Robert A Gal Md Pc
North-Shore Hospital
Khan Medical Care Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,837

Registry record

Primary taxonomy
363LN0000X
363LN0000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-06-13

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