MR. CEDRIC CHARLES WALLACE, PA-C
Physician Assistant at Coolidge Pl, Freeport, NY

License number
New York 012591
Category
Nursing
Type
Physician Assistant
Address
Address
20 Coolidge Pl, Freeport, NY 11520
Phone
(516) 779-5996
National Provider ID: 1891946240
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Cedric Wallace, age 42
20 Coolidge Pl, Freeport, NY 11520
Cedric Wallace, age 42
767 Front St, Hempstead, NY 11550
Cedric Wallace
1151 Tremont Ave, Bronx, NY 10460
(718) 823-6617
(718) 597-0516

Physician Assistant licenses in New York