Timothy Wallace in Brooklyn - Physician Assistant
Timothy Wallace - NPI 1700850674
Timothy Wallace is a Physician Assistant in Brooklyn, New York. Timothy Wallace practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Timothy Wallace is 1700850674. The last update date is 2007-07-08.
Timothy Wallace's current location address is 118 8th Ave, Brooklyn, New York. You can contact this provider via phone number 7183992527. The mailing address for Timothy Wallace is 118 8th Ave, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Wallace |
|---|---|
| Address | 118 8th Ave, Brooklyn, New York |
| Phone Number | 7183992527 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1700850674 |
|---|---|
| Provider Enumeration Date | 2006-02-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 118 8th Ave |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112151555 |
| Phone Number | 7183992527 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 004988-1 |
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Definition: 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 perfor |
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Post Comment/ Review Below
Can you provide the Timothy Wallace's physical address?
The Timothy Wallace is physically located at 118 8Th Ave, in the city of Brooklyn, NY, with the postal code 112151555.
Could you please provide the complete street address where Timothy Wallace is physically located?
The Timothy Wallace is physically situated at the following address: 118 8Th Ave, Brooklyn, NY, 112151555.
What is Timothy Wallace's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Timothy Wallace is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Timothy Wallace receive its 1700850674 assignment from the Centers for Medicare & Medicaid Services?
The Timothy Wallace was assigned its 1700850674 by the Centers for Medicare & Medicaid Services on 2006-02-15.
As of what date were the details related to Timothy Wallace most recently updated or revised?
The information pertaining to Timothy Wallace, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.