Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON WALLACE
ActiveSHANNON WALLACE is a Specialist healthcare provider located in BELLEROSE, New York. NPI 1588142574 is currently active in the NPPES registry. Verify at CMS.
Specialist · BELLEROSE, NY
Registration Details
- NPI Number
- 1588142574
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2018 (8.0314244120099 yrs)
- Last Updated
- Sep 13, 2018
Practice Information
- Address
-
8777 254TH STBELLEROSE, NY, 114262329Browse NY providers · Browse ZIP 11426
- Phone
- 3473242766
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in BELLEROSE, NY
| Name | Credential | NPI |
|---|---|---|
| ROSAMMA SAM | MS ED | 1144469610 |
| ROOHI BEGG | — | 1467714162 |
| PROF. BETTY LEE GOLPE | M.S.ED. | 1134481203 |
| CHELSEA TWYMAN | — | 1013269331 |
| MRS. LAURA DIMEGLIO-MARI | — | 1386988772 |
| PATRICIA KATHERINE ARMSTRONG | — | 1508209693 |
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.