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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIDGET QUINN WALLACE, TEACHER

Active

BRIDGET QUINN WALLACE, TEACHER is a Specialist/Technologist, Surgical healthcare provider located in WESTBURY, New York. NPI 1518584762 is currently active in the NPPES registry. Verify at CMS.

Specialist/Technologist, Surgical · WESTBURY, NY

Registration Details

NPI Number
1518584762
Provider Type
Individual
Gender
Female
NPI Issued
Jul 2, 2020 (6.1621704772508 yrs)
Last Updated
Jul 2, 2020
License
1208156 (NY)

Practice Information

Address
1400 OLD COUNTRY RD STE C-103N
WESTBURY, NY, 115905156
Browse NY providers · Browse ZIP 11590
Phone
5168066969
Primary Specialty
Specialist/Technologist, Surgical
246Z00000X
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.