Individual
DR. STEVEN GREGG WALLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1049 5TH AVE STE 2D, NEW YORK, NY 10028-0115
(212) 861-6400
(212) 535-3948
Mailing address
1049 5TH AVE STE 2D, NEW YORK, NY 10028-0115
(212) 861-6400
(212) 535-3948
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
187315
NY
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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