NATHAN JOHN WALLACE MD ⚕️ New York 1851040364

NPI	1851040364
Entity Type	Individual
Gender	Male
Sole Proprietor ?	No
Primary Taxonomy	390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date	2022-03-22
Last Update Date	2022-03-22

NATHAN JOHN WALLACE MD

1 GUSTAVE L LEVY PL

NEW YORK, NY 10029-6504

Phone number: 561-789-7695

NATHAN JOHN WALLACE MD

1 GUSTAVE L LEVY PL

NEW YORK, NY 10029-6504

Phone number: 561-789-7695