Wallace Russell Jenkins in Valhalla - Adolescent Medicine
Wallace Russell Jenkins - NPI 1487654653
Wallace Russell Jenkins is a Adolescent Medicine in Valhalla, New York. Wallace Russell Jenkins practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Wallace Russell Jenkins is 1487654653. The last update date is 2013-07-23.
Wallace Russell Jenkins's current location address is 503 Grasslands Rd, Valhalla, New York. You can contact this provider via phone number 9143045288 and fax number 9143451755. The mailing address for Wallace Russell Jenkins is 503 Grasslands Rd, Valhalla, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallace Russell Jenkins |
|---|---|
| Address | 503 Grasslands Rd, Valhalla, New York |
| Phone Number | 9143045288 |
| Fax Number | 9143451755 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1487654653 |
|---|---|
| Provider Enumeration Date | 2005-07-28 |
| Last Updated Date | 2013-07-23 |
Provider Mailing Address Detail
| Address | 503 Grasslands Rd |
|---|---|
| City | Valhalla |
| State | New York (NY) |
| Post Code | 105951503 |
| Phone Number | 9143045288 |
| Fax Number | 9143451755 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 183800 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1210104 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Wallace Russell Jenkins by the Centers for Medicare & Medicaid Services?
The Wallace Russell Jenkins has been issued the NPI (National Provider Identifier) 1487654653 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Wallace Russell Jenkins?
The Wallace Russell Jenkins is situated at 503 Grasslands Rd, in the city of Valhalla, state of NY, with the zip code 105951503.
What is Wallace Russell Jenkins's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Wallace Russell Jenkins is Adolescent Medicine, and the taxonomy code that categorizes this field of expertise is 2080A0000X.
When did the Wallace Russell Jenkins receive its 1487654653?
The Wallace Russell Jenkins was issued its 1487654653 on 2005-07-28, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Wallace Russell Jenkins, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wallace Russell Jenkins, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-07-23.
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