Organization
RICHMOND HILL PEDIATRIC ASSOCIATES
Active
Other names
Metro Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY ELIANA WALLACH MD (PRESIDENT / PHYSICIAN)
(718) 850-9225
Entity
Organization
Contact information
Practice address
11607 METROPOLITAN AVE STE 101, RICHMOND HILL, NY 11418-1018
(718) 850-9225
(718) 850-9226
Mailing address
11607 METROPOLITAN AVE STE 101, RICHMOND HILL, NY 11418-1018
(718) 850-9225
(718) 850-9226
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
224297
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02244920
—
NY
01
—
224297
STATE LICENSE
NY
Enumeration date
05/17/2011
Last updated
03/02/2026
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