Individual
KATHLEEN WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 W 59TH ST FL 10, NEW YORK, NY 10019-8022
(212) 262-4444
(212) 523-6364
Mailing address
425 W 59TH ST FL 10, NEW YORK, NY 10019-8022
(212) 262-4444
(212) 523-6364
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002803
NY
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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