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1023883907
MELANIE WALLACE
NEW HYDE PARK, NY
NPI
1023883907
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 352958)
Enumeration Date
2023-11-20
Last Update Date
2023-11-20
Business Address
MELANIE WALLACE FNP-BC
26901 76TH AVE
NEW HYDE PARK, NY 11040-1433
Phone number: 718-470-7640
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Mailing Address
MELANIE WALLACE FNP-BC
26901 76TH AVE
NEW HYDE PARK, NY 11040-1433
Phone number:
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