Wallace, Michele Elizabeth

Wallace, Michele Elizabeth is an individual health care provider with primary practice located at 28 Farrell Ave , Mount Vernon NY 10553-1806. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wallace, Michele Elizabeth can be contacted via phone (516) 663-8700.

Contact Information

Primary practice address
28 Farrell Ave Mount Vernon NY 10553-1806
Phone: (516) 663-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 18771 New York

Profile Details

NPI number 1316320385
LBN Legal business name Wallace, Michele Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2015
Last updated Jun 28th, 2023 - about last year

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.

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