person
Zichariea Z Wallace, PA
Surgical Physician Assistant in Rockville Centre, New York
NPI 1225128069

Zichariea Z Wallace is a Surgical Physician Assistant based in Baldwin, NY and is specialized in Surgical. Zichariea Z Wallace practices in Rockville Centre, NY and has the professional credentials of PA. The NPI Number for Zichariea Z Wallace is 1225128069 and holds a License No. 010776 (New York).

The current practice location address for Zichariea Z Wallace is 1000 N Village Ave., Rockville Centre, NY and can be reached out via phone at 516-705-2525 and via fax at 516-705-6969. You can also correspond with Zichariea Z Wallace through the mailing address at 1003 STEELE BLVD, BALDWIN, NY - 11510-4444 (mailing address contact number: 718-367-0200).

Location: 1000 N Village Ave., Rockville Centre, NY, 11510-4444
person
Provider Profile Details
NPI Number
1225128069
Provider Name
Zichariea Z Wallace
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1000 N Village Ave., Rockville Centre, NY, 11510-4444
Phone Number
516-705-2525
Fax Number
516-705-6969
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1000 N Village Ave.
City
State
Zip
11570
Phone Number
516-705-2525
Fax Number
516-705-6969
person
Provider Business Mailing Address Details
Address
1000 N Village Ave.
City
State
Zip
11570
Phone Number
516-705-2525
Fax Number
516-705-6969
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
010776 (New York)
Definition
Definition to come...
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