ZICHARIEA Z WALLACE

ROCKVILLE CENTRE, NY
NPI1225128069
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  010776)
Enumeration Date2006-10-13
Last Update Date2011-10-10
Business Address
-- ZICHARIEA Z WALLACE PA
1000 N VILLAGE AVE. MERCY MEDICAL CENTER
ROCKVILLE CENTRE, NY 11570
Phone number: 516-705-2525
Mailing Address
-- ZICHARIEA Z WALLACE PA
1003 STEELE BLVD
BALDWIN, NY 11510-4444
Phone number: 718-367-0200
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