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1154437358
JACOB WALLACH
BROOKLYN, NY
NPI
1154437358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213EP1101X Podiatrist, Primary Podiatric Medicine
(Licence: NY N005523)
Enumeration Date
2006-08-21
Last Update Date
2022-01-02
Business Address
Dr. JACOB WALLACH DPM
2424 KINGS HWY STE 1G
BROOKLYN, NY 11229-1641
Phone number: 718-258-9572
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Mailing Address
Dr. JACOB WALLACH DPM
51 WHITE DR
CEDARHURST, NY 11516-2630
Phone number: 718-258-9572
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