Search › New York › 174400000X
Shannon Wallace
NPI 1588142574 · on the registry since 2018
Practice
- Address
- 8777 254th St
Bellerose, NY 11426 - Phone
- (347) 324-2766
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Sex
- Female
- Record last updated
- 2018-09-13
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