Wallace, Sybille
Wallace, Sybille is an sole proprietor health care provider with primary practice located at 5 East 98Th Street Box 1206, New York NY 10029-6574. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Wallace, Sybille can be contacted via phone (212) 241-7163.Contact Information
Primary practice address
5 East 98Th Street Box 1206
New York NY 10029-6574
Phone: (212) 241-7163
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 122478 | New York |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 122478 | New York |
Profile Details
| NPI number | 1235106006 |
|---|---|
| LBN Legal business name | Wallace, Sybille |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Mar 26th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235106006 | NPPES |
| New York | Other | 122478 | LICENSE |
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