SearchNew York164W00000X

Rebecca Wallace

NPI 1285980250 · on the registry since 2012

Practice

Address
12 Demarest Rd
Chestnut Ridge, NY 10977
Phone
(845) 323-5257

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-07-27

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