Individual
ASYA IZRAELIT WALLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-0766
(012) 837-0727
(201) 837-8504
Mailing address
550 1ST AVE, NYU, NEW YORK, NY 10016-6402
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA10510100
NJ
Other
Enumeration date
03/27/2014
Last updated
12/31/2019
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