Zichariea Z Wallace, PA is a surgical physician assistant in Rockville Centre, NY with 19 years of experience. Zichariea Z Wallace, PA NPI is 1225128069. 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:
1000 N VILLAGE AVE.
MERCY MEDICAL CENTER
ROCKVILLE CENTRE, NY
ZIP 11570
Phone: (516) 705-2525
Fax: (516) 705-6969
The NPI 1225128069 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/13/2006 and was last updated on 10/10/2011.