Miss Cynthia L Wallace, THERAPIST is a
Case Manager/care Coordinator based in Staten Island, New York. Miss Cynthia L Wallace is licensed to practice in * (Not Available) (license number ) and her current practice location is
358 Saint Marks Pl, Staten Island, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 727-3303.
NPI number for Miss Cynthia L Wallace is 1710264940 and her current mailing address is 51 Tremont Ter, Irvington, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710264940.
Healthcare Provider's Profile
Full Name | Miss Cynthia L Wallace |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 358 Saint Marks Pl, Staten Island, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710264940
- Provider Enumeration Date: 11/16/2011
- Last Update Date: 11/16/2011
Medical Identifiers
Medical identifiers for Miss Cynthia L Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710264940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Cynthia L Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Cynthia L Wallace, THERAPIST 51 Tremont Ter, Irvington, NJ 07111-3709 Ph: () - | Miss Cynthia L Wallace, THERAPIST 358 Saint Marks Pl, Staten Island, NY 10301-2417 Ph: (718) 727-3303 |
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