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1144248162
MARISA I WALLACE
NEW YORK, NY
NPI
1144248162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY F334712-1)
Enumeration Date
2006-07-17
Last Update Date
2010-09-01
Business Address
Dr. MARISA I WALLACE DNP, FNP-BC
423 E 23RD ST
NEW YORK, NY 10010-5011
Phone number: 212-686-7500
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Mailing Address
Dr. MARISA I WALLACE DNP, FNP-BC
423 E 23RD ST
NEW YORK, NY 10010-5011
Phone number: 212-686-7500
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