1. Home
  2. Directory
  3. New York
  4. New Hyde Park
  5. Obstetrics Gynecology
  6. NPI Profile

DR. HENRIETTA WALLACE M.D.
NPI 1467585380
Obstetrics & Gynecology in New Hyde Park, NY

Active since March 13, 2007
2500 MARCUS AVE, NEW HYDE PARK, NY 11042(516) 437-8300(516) 437-3250 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Henrietta Wallace M.d. NPPES

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

DR. HENRIETTA WALLACE M.D. (NPI 1467585380) is an individual obstetrics & gynecology provider in New Hyde Park, New York, licensed in New York (115850) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1467585380
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. HENRIETTA WALLACECredential: M.D.
Location Address2500 MARCUS AVENew Hyde Park, NY 11042-1018
Mailing Address2500 Marcus AveNew Hyde Park, NY 11042-1018 · (516) 437-8300 · Fax (516) 437-3250
Phone(516) 437-8300
Fax(516) 437-3250
Sole ProprietorNo
Enumeration DateMarch 13, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1467585380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 115850
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2500 MARCUS AVE, New Hyde Park, NY 11042
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified510761
Medicare UPINC10743NY

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAGMOHAN K KALRA M.D.
Internal Medicine (Medical Oncology)
2500 MARCUS AVE, SUITE 110
NEW HYDE PARK, NY 11042
Nassau County (516) 358-7700
KATHY HETHERINGTON MLP-NURSE PRACTIONER
Nurse Practitioner (Family)
2500 MARCUS AVE, SUITE 105
NEW HYDE PARK, NY 11042
Nassau County (516) 358-1200
INTENSIVE PSYCHIATRIC SERVICES PC
Psychiatry & Neurology (Psychiatry)
2500 MARCUS AVE, SUITE 110
NEW HYDE PARK, NY 11042
Nassau County (516) 897-0277
JULIA RABER, M.D., P.C.
Specialist
2500 MARCUS AVE
NEW HYDE PARK, NY 11042
Nassau County (516) 358-1200
TREJON POLLARD NREMT
Emergency Medical Technician, Basic
2500 MARCUS AVE
NEW HYDE PARK, NY 11042
Nassau County (833) 259-2367
JONATHAN HERMAN M.D.
Obstetrics & Gynecology
2500 MARCUS AVE, SUITE 105
LAKE SUCCESS, NY 11042
Nassau County (516) 358-1200
JUDY MITTLEMAN M.D.
Specialist
2500 MARCUS AVE, SUITE 105
LAKE SUCCESS, NY 11042
Nassau County (516) 358-1200
DR. FRANCES STERN M.D.
Obstetrics & Gynecology
2500 MARCUS AVE
NEW HYDE PARK, NY 11042
Nassau County (516) 437-8300

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 Henrietta Wallace's NPI number?

The NPI number for Henrietta Wallace is 1467585380. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Henrietta Wallace located?

Henrietta Wallace practices at 2500 Marcus Ave, New Hyde Park, NY 11042. The listed phone number is (516) 437-8300.

What is Henrietta Wallace's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Henrietta Wallace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.