Individual provider · Type 1 NPI

Fabiola Corbette Wallace, MD

Family Medicine Physician · New York, NY

NPI number 1932847282 Active

Practice location

1790 Broadway Ste 1802
New York, NY 10019-1471

Call (212) 530-0624 Map

Fax (415) 252-7176

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723

Other practice locations

  • 1 Family Practice Dr, Kingston, NY 12401-6449 · (845) 338-6400

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X338132 (NY)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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.

12 other providers at this address

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About NPI 1932847282

Fabiola Corbette Wallace, MD's National Provider Identifier is 1932847282, issued on May 26, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in New York, NY. The record was last updated on Nov 7, 2025.