NICHOLE WALLACE

BROOKLYN, NY
NPI1114379708
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2016-07-06
Last Update Date2023-08-18
Business Address
Mrs. NICHOLE WALLACE PA
760 BROADWAY
BROOKLYN, NY 11206-5317
Phone number: 718-312-2312
Mailing Address
Mrs. NICHOLE WALLACE PA
833 PENFIELD ST
BRONX, NY 10470-1322
Phone number: 718-708-1913
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