Search › New York › 363LA2200X
Kisha Wallace
NPI 1417433939 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1 Gustave L Levy Pl
New York, NY 10029 - Phone
- (212) 241-6500
- Fax
- (212) 426-5040
- Organisation at this address
- Mount Sinai
Mt Sinai Hospital
Jay R Begun Md Pc
Fpa Hospital Based
Fpa Hospital BasedInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2,227
Additional practice sites
- 320 Wilson St, West Hempstead, NY
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-06-09
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