Individual provider · Type 1 NPI

Thomas Wall, M.ED

Specialist · Bronx, NY

NPI number 1750890208 Active

Practice location

2050 Prospect Ave
Bronx, NY 10457-3604

Mailing address

3018 43rd St Apt 12
Astoria, NY 11103-2605

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2649300 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1750890208

Thomas Wall, M.ED's National Provider Identifier is 1750890208, issued on Sep 28, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bronx, NY. The record was last updated on Sep 28, 2017.