Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALLACE RUSSELL JENKINS, MD
ActiveWALLACE RUSSELL JENKINS, MD is a Adolescent Medicine (Pediatrics) healthcare provider located in VALHALLA, New York. NPI 1487654653 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · VALHALLA, NY
Registration Details
- NPI Number
- 1487654653
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2005 (21.093633469038 yrs)
- Last Updated
- Jul 23, 2013
- License
-
183800 (NY)
Practice Information
- Address
-
503 GRASSLANDS RDSTE 200VALHALLA, NY, 10595Browse NY providers · Browse ZIP 10595
- Phone
- 9143045288
- Fax
- 9143451755
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Other Adolescent Medicine (Pediatrics) Providers in VALHALLA, NY
| Name | Credential | NPI |
|---|---|---|
| MARCIA J NACKENSON | MD | 1154320174 |
| MONIQUE MICHELINE REGARD | MD | 1457351645 |
| DR. KATHY ANN SILVERMAN | D.O. | 1962613802 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.