Robert William Wallace, RN
NPI #1972947257 in West Hurley, New York
Provider Information
- NPI Number
- 1972947257
- Entity Type
- Individual
- Name
- Robert William Wallace, RN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse - Home Health
- Credential
- RN
- Enumeration Date
- Apr 17, 2013
- Last Updated
- Apr 17, 2013
Practice Location
- Address
- 40 RIDGE DR
- City
- West Hurley
- State
- New York
- ZIP Code
- 12491-5627
- Phone
- (914) 204-9677
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Home Health — Home Health |
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Organizations
| Provider Name | |
|---|---|
| Guthrie Cortland Medical Center Part of Guthrie Cortland Medical Center | |
| Northern NY Infusion |
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