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Kojo Wallace, MD
Trauma Surgery Physician in Bay Shore, New York
NPI 1720475866

Kojo Wallace is a Trauma Surgery Physician based in Huntington Station, NY and is specialized in Trauma Surgery. Kojo Wallace practices in Bay Shore, NY and has the professional credentials of MD. The NPI Number for Kojo Wallace is 1720475866 and holds a License No. 312140 (New York).

The current practice location address for Kojo Wallace is 301 E Main St, Bay Shore, NY and can be reached out via phone at 631-968-3000.

Location: 301 E Main St, Bay Shore, NY, 11746-1971
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720475866
Provider Name
Kojo Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
301 E Main St, Bay Shore, NY, 11746-1971
Phone Number
631-968-3000
Fax Number
Provider Enumeration Date
04/15/2015
Last Update Date
07/20/2024
institution
Provider Business Practice Location Address Details
Address
301 E Main St
City
Bay Shore
State
New York
Zip
11706-8408
Phone Number
631-968-3000
Fax Number
person
Provider Business Mailing Address Details
Address
301 E Main St
City
Bay Shore
State
New York
Zip
11706-8408
Phone Number
631-968-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Trauma Surgery
Taxonomy
2086S0127X
License No.
312140 (New York)
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
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