Individual provider · Type 1 NPI
Kim Marie Wallace-Schlick, FNP-C
Family Nurse Practitioner · Stony Brook, NY
NPI number
1972032472
Active
Practice location
2500 Nesconset Hwy Bldg 7
Stony Brook, NY 11790-2555
Fax (631) 331-1932
Mailing address
2700 Nesconset Highway, Building 7
Stony Brook, NY 11790
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 342162 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1972032472
Kim Marie Wallace-Schlick, FNP-C's National Provider Identifier is 1972032472, issued on Jun 8, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Stony Brook, NY. The record was last updated on Nov 17, 2025.