Wallace, Emma

Wallace, Emma is an sole proprietor health care provider with primary practice located at 111 E 210Th St , Bronx NY 10467-2401. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Vascular Neurology is her primary health care specialty. Wallace, Emma can be contacted via phone (718) 430-3166.

Contact Information

Primary practice address
111 E 210Th St Bronx NY 10467-2401
Phone: (718) 430-3166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 312463 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 312463 New York

Profile Details

NPI number 1558893503
LBN Legal business name Wallace, Emma
Credentials MD/PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2017
Last updated Apr 11th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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