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Matthew Wallace, P.A
NPI 1427321041 · on the registry since 2012
Practice
- Address
- 489 5th Ave Fl 3
New York, NY 10017 - Phone
- (888) 663-6331
- Fax
- (415) 252-7176
- Organisation at this address
- One Medical Group, Pc
One Medical Of Ny, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 61
Additional practice sites
- 5047 Suncatcher Dr, Wesley Chapel, FL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-18
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