MR. WINSTON WALLACE NPI 1750639928

NPI Information

  • NPI: 1750639928
  • Provider Name: MR. WINSTON WALLACE
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 11454 198TH ST
    SAINT ALBANS, NY
    ZIP 11412
  • Phone: (718) 506-6968

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NPI Details

MR. Winston Wallace is a mental health counselor in Saint Albans, NY. MR. Winston Wallace NPI is 1750639928. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11454 198TH ST
SAINT ALBANS, NY
ZIP 11412-821
Phone: (718) 506-6968

The enumeration date for this NPI number is 8/20/2012 and was last updated on 8/20/2012.

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
1101YM0800XCounselorMental HealthYes

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

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