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Wallie Kanishka, PHYSICIAN ASSISTANT
NPI 1659045235 · on the registry since 2021 · sole proprietor
Practice
- Address
- 25 Hitching Post Ln
Glen Cove, NY 11542 - Phone
- (801) 918-4155
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Sex
- Male
- Record last updated
- 2021-08-05
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