Wallace, Carol

Wallace, Carol is an individual health care provider with primary practice located at 1052 Archer Pl , Baldwin NY 11510-3604. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Wallace, Carol can be contacted via phone (516) 209-6062.

Contact Information

Primary practice address
1052 Archer Pl Baldwin NY 11510-3604
Phone: (516) 209-6062
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 282552-1 New York

Profile Details

NPI number 1083111728
LBN Legal business name Wallace, Carol
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2018
Last updated Apr 10th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers