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Kyle Wallace
NPI 1205258258 · on the registry since 2014 · sole proprietor
Practice
- Address
- 2015 Grand Concourse
Bronx, NY 10453 - Phone
- (718) 583-7736
- Fax
- (718) 537-6180
- Organisation at this address
- Bronx Medical Practice P.C.
Essen Medical Associates, Pc
Essen Medical Associates, Pc
Essen Medical Wound Care PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 657
Registry record
- Primary taxonomy
- Adult Health Nurse Practitioner
363LA2200X
- Also registered as
- Registered Nurse
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-14
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