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Search › New York › 363AS0400X

Zichariea Wallace, PA

NPI 1225128069 · on the registry since 2006

Practice

Address
1000 N Village Ave.
Mercy Medical Center
Rockville Centre, NY 11570
Phone
(516) 705-2525
Fax
(516) 705-6969
Organisation at this address
Mercy Medical Center
Mercy Medical Center
Mercy Medical Center
Mercy Medical Center
Mercy Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
219

Registry record

Primary taxonomy
363AS0400X
363AS0400X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-10-10

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