person
Dr. Jacob Wallach, DPM
Primary Podiatric Medicine Podiatrist in Brooklyn, New York
NPI 1154437358

Jacob Wallach is a Primary Podiatric Medicine Podiatrist based in Cedarhurst, NY and is specialized in Primary Podiatric Medicine. Jacob Wallach practices in Brooklyn, NY and has the professional credentials of DPM. The NPI Number for Jacob Wallach is 1154437358 and holds a License No. N005523 (New York).

The current practice location address for Jacob Wallach is 2424 Kings Hwy, Brooklyn, NY and can be reached out via phone at 718-258-9572 and via fax at 718-258-7216.

Location: 2424 Kings Hwy, Brooklyn, NY, 11516-2630
person
Provider Profile Details
NPI Number
1154437358
Provider Name
Jacob Wallach
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2424 Kings Hwy, Brooklyn, NY, 11516-2630
Phone Number
718-258-9572
Fax Number
718-258-7216
Provider Enumeration Date
08/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02059272 05 NY
institution
Provider Business Practice Location Address Details
Address
2424 Kings Hwy
City
State
Zip
11229-1641
Phone Number
718-258-9572
Fax Number
718-258-7216
person
Provider Business Mailing Address Details
Address
2424 Kings Hwy
City
State
Zip
11229-1641
Phone Number
718-258-9572
Fax Number
718-258-7216
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
N005523 (New York)
Definition
Definition to come...
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