Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ILISA DAWN WALLACH, M.D.
Active Sole ProprietorDR. ILISA DAWN WALLACH, M.D. is a Internal Medicine healthcare provider located in NEW YORK, New York. NPI 1629139340 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · NEW YORK, NY
Registration Details
- NPI Number
- 1629139340
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 13, 2006 (19.696644176025 yrs)
- Last Updated
- Feb 2, 2016
- Licenses
-
176452 (NY)176452 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1421 3RD AVE FL 5NEW YORK, NY, 100281899Browse NY providers · Browse ZIP 10028
- Phone
- 2127175700
- Fax
- 2127175706
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Cardiovascular Disease
Other Internal Medicine Providers in NEW YORK, NY
| Name | Credential | NPI |
|---|---|---|
| WALT G SARGEANT | M.D. | 1720081433 |
| DR. DAVID A KAMLET | M.D. | 1205839917 |
| DR. KENNETH PAUL SCILEPPI | M.D. | 1568465003 |
| DR. MARTIN DIEGO ORTIZ | M.D. | 1467454793 |
| JAMES CHENG | MD | 1811990120 |
| DR. JAIME F LOPEZ-SANTINI | MD | 1295739944 |
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.