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Organization
METRO MEDICAL PRACTICE PC
Active
Organization
METRO MEDICAL PRACTICE PC
Active
Other names
Richmond Hill Pediatric Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY WALLACH MD (OWNER)
(718) 850-9225
Entity
Organization
Contact information
Practice address
11607 METROPOLITAN AVE STE 102, KEW GARDENS, NY 11418-1018
(718) 850-9225
(718) 850-9226
Mailing address
11607 METROPOLITAN AVE STE 102, KEW GARDENS, NY 11418-1018
(718) 850-9225
(718) 850-9226
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
NULL
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
03/02/2026
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