MICHELE ELIZABETH WALLACE

MOUNT VERNON, NY
NPI1316320385
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  18771)
Enumeration Date2015-07-08
Last Update Date2023-06-28
Business Address
MICHELE ELIZABETH WALLACE
28 FARRELL AVE
MOUNT VERNON, NY 10553-1806
Phone number: 516-663-8700
Mailing Address
MICHELE ELIZABETH WALLACE
28 FARRELL AVE
MOUNT VERNON, NY 10553-1806
Phone number:
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