Wallace-Schlick, Kim Marie

Wallace-Schlick, Kim Marie is an individual health care provider with primary practice located at 260 Main St , Islip NY 11751-3450. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wallace-Schlick, Kim Marie can be contacted via phone (631) 581-4481.

Contact Information

Primary practice address
260 Main St Islip NY 11751-3450
Phone: (631) 581-4481
Fax: (631) 581-4562
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 342162 New York

Profile Details

NPI number 1972032472
LBN Legal business name Wallace-Schlick, Kim Marie
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2017
Last updated Mar 29th, 2024 - about 6 months 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.

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