Search › New York › 363A00000X
Kyana Wallace, PA-C
NPI 1558611483 · on the registry since 2012
Practice
- Address
- 75 Broad St
New York, NY 10004 - Phone
- (877) 456-0369
- Organisation at this address
- Complexcare Solutions
Complex Care SolutionsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-09-20
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