Organization
WALLACE HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY WALLACE (OWNER)
(631) 805-1562
Entity
Organization
Contact information
Practice address
1808 BEVERLEY RD APT C4, BROOKLYN, NY 11226-8601
(631) 805-1562
Mailing address
1808 BEVERLEY RD APT C4, BROOKLYN, NY 11226-8601
(631) 805-1562
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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