Individual provider · Type 1 NPI

Timothy Wallace, PA

Physician Assistant · Brooklyn, NY

NPI number 1700850674 Active

Practice location

450 Clarkson Ave, Box 56
Brooklyn, NY 11203-2056

Call (718) 270-1554 Map

Fax (718) 270-4123

Mailing address

118 8th Ave, #5F
Brooklyn, NY 11215-1555

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X004988-1 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

1,417 other providers at this address

Other physician assistant providers in Brooklyn

See all in Brooklyn →

About NPI 1700850674

Timothy Wallace, PA's National Provider Identifier is 1700850674, issued on Feb 15, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 13, 2026.