Zichariea Z Wallace, PA
NPI #1225128069 in Rockville Centre, New York
Provider Information
- NPI Number
- 1225128069
- Entity Type
- Individual
- Name
- Zichariea Z Wallace, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA
- Enumeration Date
- Oct 13, 2006
- Last Updated
- Oct 10, 2011
Practice Location
- Address
- 1000 N VILLAGE AVE.
- Address 2
- MERCY MEDICAL CENTER
- City
- Rockville Centre
- State
- New York
- ZIP Code
- 11570
- Phone
- (516) 705-2525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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