Laurie J Wallace in Patchogue - Physician Assistant
Laurie J Wallace - NPI 1326261579
Laurie J Wallace is a Physician Assistant in Patchogue, New York. Laurie J Wallace practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Laurie J Wallace is 1326261579. The last update date is 2021-11-10.
Laurie J Wallace's current location address is 1 E Roe Blvd, Patchogue, New York. You can contact this provider via phone number 6314753900. The mailing address for Laurie J Wallace is 1 E Roe Blvd, Patchogue, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laurie J Wallace |
|---|---|
| Address | 1 E Roe Blvd, Patchogue, New York |
| Phone Number | 6314753900 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RPA-C |
NPI Number Detail
| NPI Number | 1326261579 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2021-11-10 |
Provider Mailing Address Detail
| Address | 1 E Roe Blvd |
|---|---|
| City | Patchogue |
| State | New York (NY) |
| Post Code | 117722631 |
| Phone Number | 6314753900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 006630-1 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Laurie J Wallace by the Centers for Medicare & Medicaid Services?
The Laurie J Wallace has been issued the NPI (National Provider Identifier) 1326261579 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Laurie J Wallace's physical address?
The Laurie J Wallace is physically located at 1 E Roe Blvd, in the city of Patchogue, NY, with the postal code 117722631.
What is the Laurie J Wallace's area of specialization and corresponding taxonomy classification?
The Laurie J Wallace's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When did the Laurie J Wallace receive its 1326261579?
The Laurie J Wallace was issued its 1326261579 on 2007-04-10, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Laurie J Wallace most recently updated or revised?
The details related to Laurie J Wallace, including its address, specialty, and other relevant information, were last updated or revised on 2021-11-10.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN