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1154798486
DAVID WALLACE
NEW YORK, NY
NPI
1154798486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 039257)
Enumeration Date
2015-08-21
Last Update Date
2015-08-21
Business Address
-- DAVID WALLACE
552 6TH AVE
NEW YORK, NY 10011-2010
Phone number: 212-741-9288
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Mailing Address
-- DAVID WALLACE
2142 UTOPIA PKWY
WHITESTONE, NY 11357-4142
Phone number: 718-819-6800
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