Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. STACEY MARIE WALLACE
Active Sole ProprietorMS. STACEY MARIE WALLACE is a Specialist healthcare provider located in FREDONIA, New York. NPI 1700149838 is currently active in the NPPES registry. Verify at CMS.
Specialist · FREDONIA, NY
Registration Details
- NPI Number
- 1700149838
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2012 (13.96493800757 yrs)
- Last Updated
- Jun 22, 2012
- License
-
374992091 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
75 CHESTNUT STFREDONIA, NY, 140631630Browse NY providers · Browse ZIP 14063
- Phone
- 7166722731
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in FREDONIA, NY
| Name | Credential | NPI |
|---|---|---|
| WILLIAM J KUWIK II | LMT | 1407002421 |
| MRS. JULIE LYNN FORTNER | MSED | 1215290911 |
| MS. DIANNE KATHLEEN BUYER | M.S. | 1467716779 |
| MRS. MARY SUE VOGEL | SPECIAL EDUCATION TE | 1740533009 |
| MISS DEVON DOLCE | — | 1316291750 |
| KIMBERLY MARINO-ALGUIRE | — | 1801230826 |
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.