Dr. Jacob Wallach
Primary Podiatric Medicine
2424 Kings Hwy Ste 1g
Brooklyn
, New York 11229-1641
Dr. Jacob Wallach
Primary Podiatric Medicine
2424 Kings Hwy Ste 1g
Brooklyn
, New York 11229-1641
(718) 258-7216
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Jacob Wallach
- 51 White Dr
- Cedarhurst, NY
- Zip : 11516-2630
- Fax : (718) 258-7216
- Phone : (718) 258-9572
Second Address
- Dr. Jacob Wallach
- 2424 Kings Hwy Ste 1g
- Brooklyn, NY
- Zip : 11229-1641
- Fax : (718) 258-7216
- Phone : (718) 258-9572
Reviews
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Is Dr. Jacob Wallach a sole practitioner?
Is Dr. Jacob Wallach accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | N005523 | NY |
National Provider Identifier
| NPI | 1154437358 |
|---|---|
| Provider Name | Dr. Jacob Wallach |
| First Address | Cedarhurst, NY 11516-2630 |
| Second Address | Brooklyn, NY 11229-1641 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/08/2006 |
| Last Update Date | 02/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02059272 | (05) | NY |
| U78813 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.