Sara Wallace
NPI #1871324855 in Lindenhurst, New York
Provider Information
- NPI Number
- 1871324855
- Entity Type
- Individual
- Name
- Sara Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Aug 12, 2024
- Last Updated
- Aug 12, 2024
Practice Location
- Address
- 887 KELLUM ST
- City
- Lindenhurst
- State
- New York
- ZIP Code
- 11757-1508
- Phone
- (631) 626-4861
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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