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Fabiola Corbette Wallace, MD
NPI 1932847282 · on the registry since 2022
Practice
- Address
- 1790 Broadway Ste 1802
New York, NY 10019 - Phone
- (212) 530-0624
- Fax
- (415) 252-7176
- Organisation at this address
- Affinial Llc
Central Park Women Imaging
Mount Sinai School Of Medicine
West Side Radiology Associates, Pc
West Side Radiology Associates, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 58
Additional practice sites
- 1 Family Practice Dr, Kingston, NY
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-11-07
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