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Ann Wallace

NPI 1063848778 · on the registry since 2013

Practice

Address
10 Burkle St
Oswego, NY 13126
Phone
(315) 342-4600
Clinicians at this address
24

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-09-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York