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Wallace Russell Jenkins, MD
Pediatric Adolescent Medicine Physician in Valhalla, New York
NPI 1487654653

Wallace Russell Jenkins is a Pediatric Adolescent Medicine Physician based in Valhalla, NY and is specialized in Adolescent Medicine. Wallace Russell Jenkins practices in Valhalla, NY and has the professional credentials of MD. The NPI Number for Wallace Russell Jenkins is 1487654653 and holds a License No. 183800 (New York).

The current practice location address for Wallace Russell Jenkins is 503 Grasslands Rd, Valhalla, NY and can be reached out via phone at 914-304-5288 and via fax at 914-345-1755. You can also correspond with Wallace Russell Jenkins through the mailing address at 503 GRASSLANDS RD, VALHALLA, NY - 10595-1503 (mailing address contact number: 914-304-5288).

Location: 503 Grasslands Rd, Valhalla, NY, 10595-1503
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Provider Profile Details
NPI Number
1487654653
Provider Name
Wallace Russell Jenkins
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
503 Grasslands Rd, Valhalla, NY, 10595-1503
Phone Number
914-304-5288
Fax Number
914-345-1755
Provider Enumeration Date
07/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01210104 05 NY
institution
Provider Business Practice Location Address Details
Address
503 Grasslands Rd
City
State
Zip
10595
Phone Number
914-304-5288
Fax Number
914-345-1755
person
Provider Business Mailing Address Details
Address
503 Grasslands Rd
City
State
Zip
10595
Phone Number
914-304-5288
Fax Number
914-345-1755
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
License No.
183800 (New York)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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