Individual provider · Type 1 NPI

Kyrsten Wallace, MD

Family Medicine Physician · Syracuse, NY

NPI number 1407317472 Active

Practice location

750 E Adams St
Syracuse, NY 13210-2306

Mailing address

4900 Broad Rd Ste 3M
Syracuse, NY 13215-2265

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X318197 (NY)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1407317472

Kyrsten Wallace, MD's National Provider Identifier is 1407317472, issued on Mar 30, 2019. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Syracuse, NY. The record was last updated on Dec 13, 2022.