EMMA WALLACE

BRONX, NY
NPI1558893503
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084V0102X Psychiatry & Neurology, Vascular Neurology
(Licence: NY  312463)
Additional Taxonomies2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: NY  312463)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-03-29
Last Update Date2022-04-11
Business Address
EMMA WALLACE MD/PhD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-430-3166
Mailing Address
EMMA WALLACE MD/PhD
43 WESTMINSTER AVE
BERGENFIELD, NJ 07621-3913
Phone number: 201-387-1957