Mr. Edward S Wallach
Clinical Social Worker
673 Stewart Avenue
Staten Island
, New York 10314
Mr. Edward S Wallach
Clinical Social Worker
673 Stewart Avenue
Staten Island
, New York 10314
(718) 698-9357
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Mr. Edward S Wallach
- 673 Stewart Avenue
- Staten Island, NY
- Zip : 10314
- Fax : (718) 698-9357
- Phone : (718) 698-1795
Second Address
- Mr. Edward S Wallach
- 673 Stewart Avenue
- Staten Island, NY
- Zip : 10314
- Fax : (718) 698-9357
- Phone : (718) 698-1795
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | R027293 | NY |
National Provider Identifier
| NPI | 1003238205 |
|---|---|
| Provider Name | Mr. Edward S Wallach |
| First Address | Staten Island, NY 10314 |
| Second Address | Staten Island, NY 10314 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/01/2014 |
| Last Update Date | 08/01/2014 |
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.