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1467585380
HENRIETTA WALLACE
NEW HYDE PARK, NY
NPI
1467585380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NY 115850)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
Dr. HENRIETTA WALLACE M.D.
2500 MARCUS AVE
NEW HYDE PARK, NY 11042-1018
Phone number: 516-437-8300
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Mailing Address
Dr. HENRIETTA WALLACE M.D.
2500 MARCUS AVE
NEW HYDE PARK, NY 11042-1018
Phone number: 516-437-8300
Copy
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