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Search › New York › 163W00000X

Kimberly Wallace

NPI 1265969133 · on the registry since 2017

Practice

Address
3400 Bainbridge Ave
Bronx, NY 10467
Phone
(917) 450-5763
Organisation at this address
Monte Eyewear Inc.
Jacobi Medical Center
Montefiore Medical Center
Eyes And Optics Grand Inc
Montefiore Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
141

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-05-22

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