Individual
KIM GABRIELLE WALLENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
725 IRVING AVE, SUITE 401, SYRACUSE, NY 13210-1603
(315) 464-2878
(315) 464-2879
Mailing address
2 GRAMPIAN RD, APT 9, LIVERPOOL, NY 13090-5010
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
257433
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03254340
—
NY
Enumeration date
04/13/2007
Last updated
12/06/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us