SYBILLE WALLACE


Address: 5 East 98th Street, Box 1206, New York, NY 10029-6574
Phone: 2122417163

SYBILLE WALLACE (NPI# 1235106006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NY LICENSE 122478 01

Office Location

Street Address 5 EAST 98TH STREET
BOX 1206
City NEW YORK
State NY
Zip Code 10029-6574

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and city

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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Competitor

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City NEW YORK
Zip Code 10029

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Dataset Information

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.

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