Individual provider · Type 1 NPI
Nichole Wallace, PA
Medical Physician Assistant · Brooklyn, NY
NPI number
1114379708
Active
Practice location
760 Broadway
Brooklyn, NY 11206-5317
Mailing address
833 Penfield St
Bronx, NY 10470-1322
Other practice locations
- 10959 W Colonial Dr, Units 6&8, Ocoee, FL 34761 · (407) 554-4591
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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- Woodhll Medical GroupPediatric Adolescent Medicine Physician Brooklyn, NY NPI 1073696381
- Woodhul Medical and Mental Health CenterGeneral Acute Care Hospital Brooklyn, NY NPI 1790798007
- WoodhullChronic Disease Hospital Brooklyn, NY NPI 1093199838
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Other medical physician assistant providers in Brooklyn
- Jesse Thomas Johnson Ii, PAMedical Physician Assistant Brooklyn, NY NPI 1003042664
- Miriam Y. Litvintchouk, PAMedical Physician Assistant Brooklyn, NY NPI 1003132952
- Guy Kelly, P.A.Medical Physician Assistant Brooklyn, NY NPI 1003970005
- Ryan Matthew Bird, PA-CMedical Physician Assistant Brooklyn, NY NPI 1013621424
- Jessica Rodriguez, PHYSICIAN ASSISTANTMedical Physician Assistant Brooklyn, NY NPI 1023346665
- Genevieve Wood-Minardi, PAMedical Physician Assistant Brooklyn, NY NPI 1023663184
- Rachel Reichman, PHYSICIAN ASSISTANTMedical Physician Assistant Brooklyn, NY NPI 1033009253
- Albina Aylyarova, PAMedical Physician Assistant Brooklyn, NY NPI 1033440862
About NPI 1114379708
Nichole Wallace, PA's National Provider Identifier is 1114379708, issued on Jul 6, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 18, 2023.