Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALLIE KANISHKA, PHYSICIAN ASSISTANT
Active Sole ProprietorWALLIE KANISHKA, PHYSICIAN ASSISTANT is a Student (Health Education/Training) healthcare provider located in GLEN COVE, New York. NPI 1659045235 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · GLEN COVE, NY
Registration Details
- NPI Number
- 1659045235
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 5, 2021 (4.9954127961477 yrs)
- Last Updated
- Aug 5, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
25 HITCHING POST LNGLEN COVE, NY, 115421625Browse NY providers · Browse ZIP 11542
- Phone
- 8019184155
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in GLEN COVE, NY
| Name | Credential | NPI |
|---|---|---|
| DR. SUSANA M QUERIDO | MD | 1659530731 |
| DR. NIMA SAKIAN | — | 1558520221 |
| DR. VARUN SARDANA | — | 1881823185 |
| MAAYAN ESTELLE LIEBERMAN | M.D. | 1013357706 |
| DONNA PSOMOPOULOS | — | 1932608213 |
| ROHIA AZIZ | MD | 1194286526 |
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.