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1174718654
MAXANA WILBY-WALLACE
NEW YORK, NY
NPI
1174718654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F303569)
Enumeration Date
2007-09-07
Last Update Date
2007-09-07
Business Address
-- MAXANA WILBY-WALLACE ANP
1901 1ST AVE EMPLOYEES HEALTH SERVICE/METROPOLITAN HOSPITAL CENTER
NEW YORK, NY 10029-7404
Phone number: 212-423-6384
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Mailing Address
-- MAXANA WILBY-WALLACE ANP
1901 1ST AVE EMPLOYEES HEALTH SERVICE/METROPOLITAN HOSPITAL CENTER
NEW YORK, NY 10029-7404
Phone number: 212-423-6384
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