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KIM MARIE WALLACE NP IN FAMILY HEALTH PLLC
NPI 1336990019
Nurse Practitioner - Family in Sayville, NY

Active since March 29, 2024
20 DUNN CT, SAYVILLE, NY 11782(631) 375-4211(833) 605-4049 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kim Marie Wallace Np In Family Health Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM MARIE WALLACE NP IN FAMILY HEALTH PLLC (NPI 1336990019) is a healthcare organization registered as a family in Sayville, New York and active in the NPI registry since March 2024. The organization lists Kim Marie Wallace-schlick, Fnp, as its authorized official.

NPPES Registry Identity

NPI1336990019
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKIM MARIE WALLACE NP IN FAMILY HEALTH PLLC
Location Address20 DUNN CTSayville, NY 11782-2002
Mailing Address20 Dunn CtSayville, NY 11782-2002 · (631) 375-4211 · Fax (833) 605-4049
Phone(631) 375-4211
Fax(833) 605-4049
Organization SubpartNo
Authorized OfficialKim Marie Wallace-schlickFnp · (631) 375-4211
Enumeration DateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
✔ NPI 1336990019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
20 DUNN CT, Sayville, NY 11782
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Marie Wallace Np In Family Health PLLC's NPI number?

The NPI number for Kim Marie Wallace Np In Family Health PLLC is 1336990019. It was assigned to this organization in the NPPES registry on March 29, 2024.

Where is Kim Marie Wallace Np In Family Health PLLC located?

Kim Marie Wallace Np In Family Health PLLC is located at 20 Dunn Ct, Sayville, NY 11782. The listed phone number is (631) 375-4211.

What is Kim Marie Wallace Np In Family Health PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kim Marie Wallace Np In Family Health PLLC was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.