KYRSTEN WALLACE

SYRACUSE, NY
NPI1407317472
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  318197)
Enumeration Date2019-03-30
Last Update Date2022-12-13
Business Address
KYRSTEN WALLACE MD
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-8948
Mailing Address
KYRSTEN WALLACE MD
4900 BROAD RD STE 3M
SYRACUSE, NY 13215-2265
Phone number: