Search › New York › 225A00000X
Dorian Wallace, MT-BC
NPI 1518797794 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1510 Carroll St Apt 2a
Brooklyn, NY 11213 - Phone
- (330) 592-5264
Registry record
- Primary taxonomy
- 225A00000X
225A00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-03
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