Wallace, Zichariea Z
Wallace, Zichariea Z is an individual health care provider with primary practice located at 1000 N Village Ave. Mercy Medical Center, Rockville Centre NY 11570. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Wallace, Zichariea Z can be contacted via phone (516) 705-2525.Contact Information
Primary practice address
1000 N Village Ave. Mercy Medical Center
Rockville Centre NY 11570
Phone: (516) 705-2525
Fax: (516) 705-6969
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 010776 | New York |
Profile Details
NPI number | 1225128069 |
---|---|
LBN Legal business name | Wallace, Zichariea Z |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2006 |
Last updated | Oct 10th, 2011 - about 14 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.
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