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Robert William Wallace, RN
Home Health Registered Nurse in West Hurley, New York
NPI 1972947257

Robert William Wallace is a Home Health Registered Nurse based in West Hurley, NY and is specialized in Home Health. Robert William Wallace practices in West Hurley, NY and has the professional credentials of RN. The NPI Number for Robert William Wallace is 1972947257 and holds a License No. 578054 (New York).

The current practice location address for Robert William Wallace is 40 Ridge Dr, West Hurley, NY and can be reached out via phone at 914-204-9677.

Location: 40 Ridge Dr, West Hurley, NY, 12491-5627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972947257
Provider Name
Robert William Wallace
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
40 Ridge Dr, West Hurley, NY, 12491-5627
Phone Number
914-204-9677
Fax Number
Provider Enumeration Date
04/17/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
40 Ridge Dr
City
West Hurley
State
New York
Zip
12491-5627
Phone Number
914-204-9677
Fax Number
person
Provider Business Mailing Address Details
Address
40 Ridge Dr
City
West Hurley
State
New York
Zip
12491-5627
Phone Number
914-204-9677
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
163WH0200X
License No.
578054 (New York)
Definition
Definition to come...
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