MRS. ELIZABETH WALLACE MSED NPI 1013748086

NPI Information

  • NPI: 1013748086
  • Provider Name: MRS. ELIZABETH WALLACE, MSED
  • Classification: Specialist/Technologist - 225500000X
  • Entity Type: Individual
  • Address: 23 MEXICO ST
    CAMDEN, NY
    ZIP 13316
  • Phone: (315) 820-8014

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NPI Details

MRS. Elizabeth Wallace, MSED is a specialist technologist in Camden, NY. The provider is general classification identifying respiratory, developmental, rehabilitative or restorative services individuals who are trained on a specific piece of equipment or technical procedure. MRS. Elizabeth Wallace, MSED NPI is 1013748086. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

23 MEXICO ST
CAMDEN, NY
ZIP 13316-203
Phone: (315) 820-8014

The enumeration date for this NPI number is 8/12/2024 and was last updated on 8/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225500000XSpecialist/TechnologistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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