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Nichole Wallace
NPI 1265357305 · on the registry since 2026 · sole proprietor
Practice
- Address
- 450 Highland Ave
Mount Vernon, NY 10553 - Phone
- (347) 213-6552
Registry record
- Primary taxonomy
- 163WW0000X
163WW0000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-10
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