Individual
MS. BRENDA WALLACE-LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
972 BRUSH HOLLOW RD, WESTBURY, NY 11590-1740
(516) 876-5555
(516) 876-5539
Mailing address
300 COMMUNITY DRIVE, NSUH-DEPT. OF NEUROSURGERY, MANHASSET, NY 11030
(516) 562-3020
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
002813
NY
Other
Enumeration date
04/26/2006
Last updated
09/08/2009
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