MARK EDWARD WALLACE

NEW YORK, NY
NPI1760753008
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: NY  160946)
Enumeration Date2012-01-18
Last Update Date2012-01-18
Business Address
DR. MARK EDWARD WALLACE M.D.
77 7TH AVE #19D
NEW YORK, NY 10011-6645
Phone number: 212-675-8586
Mailing Address
DR. MARK EDWARD WALLACE M.D.
77 7TH AVE #19D
NEW YORK, NY 10011-6645
Phone number: 212-675-8586
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