ALEXANDER JORG WALLE

OZONE PARK, NY
NPI1134154792
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: NY  162148)
Enumeration Date2006-07-12
Last Update Date2021-01-04
Business Address
Dr. ALEXANDER JORG WALLE MD PhD
13223 79TH ST
OZONE PARK, NY 11417-1137
Phone number: 718-456-5600
Mailing Address
Dr. ALEXANDER JORG WALLE MD PhD
PO BOX 211261
WOODHAVEN, NY 11421
Phone number: 718-456-5600