Individual
DR. DONALD JOHN WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
20 GILBERT AVE STE 201, SMITHTOWN, NY 11787-5312
(631) 360-0170
(631) 724-1991
Mailing address
20 GILBERT AVE STE 201, SMITHTOWN, NY 11787-5312
(631) 360-0170
(631) 724-1991
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
X008217-1
NY
Other
Enumeration date
12/13/2006
Last updated
02/02/2026
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