Individual
DR. GAIL MARIA BAILEY WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
95 GRASSLANDS RD NEW YORK MEDICAL COLLEGE, DEPT OF MEDICINE MUNGER PAVILIAN, VALHALLA, NY 10595
(914) 594-4388
(914) 594-4434
Mailing address
95 GRASSLANDS RD, DEPT OF MEDICINE MUNGER PAVILION, VALHALLA, NY 10595-1652
(914) 594-4388
(914) 594-4434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
201740
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00832779
—
NY
01
—
755AG1
EMPIRE BCBS#
NY
Enumeration date
11/14/2006
Last updated
05/30/2008
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