Individual
MICHELLE WALLENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
73 MARKET ST, YONKERS, NY 10710
(914) 831-6830
(914) 831-6831
Mailing address
2700 WESTCHESTER AVE, PURCHASE, NY 10577-2547
(914) 607-5730
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
251204
NY
207V00000X
Obstetrics & Gynecology Physician
55594
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03366176
—
NY
05
—
1275790883
—
CT
Enumeration date
05/21/2008
Last updated
09/05/2018
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