Wallach, Nancy Eliana

Wallach, Nancy Eliana is an sole proprietor health care provider with primary practice located at 11607 Metropolitan Ave Ste 101 , Richmond Hill NY 11418-1018. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Wallach, Nancy Eliana can be contacted via phone (718) 850-9225.

Contact Information

Primary practice address
11607 Metropolitan Ave Ste 101 Richmond Hill NY 11418-1018
Phone: (718) 850-9225
Fax: (718) 850-9226
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 224297 New York
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 224297 New York

Profile Details

NPI number 1740392737
LBN Legal business name Wallach, Nancy Eliana
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Sep 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740392737 NPPES
New York MEDICAID 02244920

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