NICHOLE WALLACE, PA

PA

Medical Physician Assistant

NPI: 1114379708IndividualAccepts Medicare

Specialties, Licenses & Credentials

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2023

Contact & Hours

Via practice · 2 locations total

Address: 760 BROADWAY
BROOKLYN, NY 11206
Phone: (718) 312-2312

Locations (2)

Practice Location

760 BROADWAY, BROOKLYN, NY

Practice Location

10959 W Colonial Dr, Ocoee, FL

Quick Facts

NPI: 1114379708
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 1
Locations: 2
Years in Practice: 3

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