SYBILLE WALLACE (NPI# 1235106006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235106006 |
Entity Type | Individual |
Full Name | SYBILLE WALLACE |
Credential | M.D. |
Practice Address |
5 East 98th Street Box 1206 New York NY 10029-6574 |
Practice Telephone | 2122417163 |
Mailing Telephone | 2122417163 |
Enumeration Date | 2006-03-01 |
Last Update Date | 2013-03-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | Other Service Providers | ||
N | 208000000X | Pediatrics | 122478 | NY | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
122478 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | LICENSE | 122478 | 01 |
Street Address |
5 EAST 98TH STREET BOX 1206 |
City | NEW YORK |
State | NY |
Zip Code | 10029-6574 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386625994 | Lori Garjian | Physical Medicine & Rehabilitation | 5 East 98th Street, New York, NY 10029 | 2005-11-10 |
1316427248 | Alexander Spiessberger | Student in an Organized Health Care Education/Training Program | 5 East 98th Street, 4th Floor, New York, NY 10029 | 2018-08-20 |
1902318223 | Alexa Engelman | Nurse Practitioner | 5 East 98th Street, 10th Floor, New York, NY 10029-6574 | 2017-10-26 |
1669994349 | Elena A Katsanos | Physician Assistant | 5 East 98th Street, New York, NY 10029-6504 | 2017-07-13 |
1447634647 | Chiara Rocha | Transplant Surgery | 5 East 98th Street, New York, NY 10029-6574 | 2015-07-17 |
1255776589 | Wilson Domingo Heredia Nunez | Psychiatry & Neurology | 5 East 98th Street, Fl 1, Rm# F1-116, New York, NY 10029 | 2013-04-30 |
1639494685 | Gretchen K Mathewson | Nurse Practitioner | 5 East 98th Street, Box 1138, New York, NY 10029-6501 | 2010-04-01 |
1407093511 | Elizabeth Mathews Chacko | Pediatrics | 5 East 98th Street, New York, NY 10029 | 2009-01-12 |
1568624534 | Ganesh Gunasekaran | Surgery | 5 East 98th Street, New York, NY 10029-6574 | 2008-06-30 |
1134389240 | Orli Rosen | Internal Medicine | 5 East 98th Street, Mount Sinai Hospital - Endocrinology Associates, New York, NY 10029 | 2008-06-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
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Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093327611 | Adel Mostafavi, Md PC | Psychiatry & Neurology | 104 W 40th St Rm 400, New York, NY 10018-3692 | 2020-08-17 |
1598306441 | Place of Mind Child, Adolescent, and Adult Psychiatry P.C. | Psychiatry & Neurology | 240 Central Park S Apt 2h, New York, NY 10019-1435 | 2019-10-02 |
1881102267 | Park Avenue Physicians PC | Psychiatry & Neurology | 5 W 86th St Apt 1b, New York, NY 10024-3663 | 2018-01-19 |
1902281629 | Derek Rudge | Psychiatry & Neurology | 1051 Riverside Dr Rm 235, New York, NY 10032-1007 | 2015-07-23 |
1275918096 | Dr Omar Bashayan Physician Pllc | Psychiatry & Neurology | 155 W 68th St Apt 1102, New York, NY 10023-5816 | 2015-07-22 |
1427486067 | Roy Lubit | Psychiatry & Neurology | 165 West End Ave 3l, New York, NY 10023 | 2013-10-17 |
1801144415 | Andrea E Ackerman | Psychiatry & Neurology | 109 West 26th Street, 10, New York, NY 10001-6806 | 2012-08-29 |
1336407105 | Marta Galecki | Psychiatry & Neurology | 420 E 70th St Apt 12c, New York, NY 10021-5320 | 2012-04-30 |
1558637934 | Anthony Joseph Deo | Psychiatry & Neurology | 1051 Riverside Dr # 85, New York, NY 10032-1007 | 2012-03-29 |
1831487446 | Maria Perez-coste | Psychiatry & Neurology | 541 Broadway, Allen Pavillion, New York, NY 10012-3944 | 2011-07-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.