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Jenna Wallace, LCAT

NPI 1558101063 · on the registry since 2024

Practice

Address
66 Pine St
New City, NY 10956
Phone
(914) 348-3040
Clinicians at this address
8

Registry record

Primary taxonomy
225A00000X
225A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-31

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