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Mr. Cedric Charles Wallace, PA-C
Physician Assistant in Freeport, New York
NPI 1891946240

Cedric Charles Wallace is a Physician Assistant based in Freeport, NY. Cedric Charles Wallace practices in Freeport, NY and has the professional credentials of PA-C. The NPI Number for Cedric Charles Wallace is 1891946240 and holds a License No. 012591 (New York).

The current practice location address for Cedric Charles Wallace is 20 Coolidge Pl, Freeport, NY and can be reached out via phone at 516-779-5996.

Location: 20 Coolidge Pl, Freeport, NY, 11520-2543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891946240
Provider Name
Cedric Charles Wallace
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
20 Coolidge Pl, Freeport, NY, 11520-2543
Phone Number
516-779-5996
Fax Number
Provider Enumeration Date
10/03/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
20 Coolidge Pl
City
Freeport
State
New York
Zip
11520-2543
Phone Number
516-779-5996
Fax Number
person
Provider Business Mailing Address Details
Address
20 Coolidge Pl
City
Freeport
State
New York
Zip
11520-2543
Phone Number
516-779-5996
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
012591 (New York)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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