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Marissa Wallace, NP
NPI 1689932360 · on the registry since 2012 · sole proprietor
Practice
- Address
- 3078 Route 9w Ste 100
New Windsor, NY 12553 - Phone
- (845) 561-3310
- Fax
- (845) 561-8728
- Organisation at this address
- Hudson Valley Pulmonary & Med Assoc Pc
Hudson Valley Pulmonary & Medical AssociatesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
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