Organization
WALLACE B KALT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALLACE B KALT MD (MEDICAL DOCTOR)
(516) 798-3110
Entity
Organization
Contact information
Practice address
930 N BROADWAY, SUITE 3, MASSAPEQUA, NY 11758-2394
(516) 798-3110
(516) 798-3605
Mailing address
930 N BROADWAY, SUITE 3, MASSAPEQUA, NY 11758-2394
(516) 798-3110
(516) 798-3605
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
077178
NY
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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