Individual provider · Type 1 NPI

Henrietta Wallace, MD

Obstetrics & Gynecology Physician · New Hyde Park, NY

NPI number 1467585380 Active

Practice location

2500 Marcus Ave
New Hyde Park, NY 11042-1018

Call (516) 437-8300 Map

Fax (516) 437-3250

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X115850 (NY)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1467585380

Henrietta Wallace, MD's National Provider Identifier is 1467585380, issued on Mar 13, 2007. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in New Hyde Park, NY. The record was last updated on Jul 8, 2007.