JEFFREY D WALLACH

NEW YORK, NY
NPI1588638118
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: NY  127655-1)
Additional Taxonomies207RN0300X Internal Medicine, Nephrology
(Licence: WI  23291)
Enumeration Date2006-02-13
Last Update Date2019-12-09
Business Address
Dr. JEFFREY D WALLACH M.D.
506 LENOX AVE MLK 12101
NEW YORK, NY 10037-1802
Phone number: 212-939-2291
Mailing Address
Dr. JEFFREY D WALLACH M.D.
19 BEACH ST APT 4
NEW YORK, NY 10013-2954
Phone number: