KOJO WALLACE

BAY SHORE, NY
NPI1720475866
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2086S0127X Surgery, Trauma Surgery
(Licence: NY  312140)
Enumeration Date2015-04-15
Last Update Date2024-06-14
Business Address
KOJO WALLACE MD
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-968-3000
Mailing Address
KOJO WALLACE MD
909 STATION WAY
HUNTINGTON STATION, NY 11746-1971
Phone number:
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