Steven G Wallach (NPI# 1336229830, PAC ID# 3173707593) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1336229830 |
| PAC ID by PECOS | 3173707593 |
| Professional Enrollment ID | I20111107000811 |
| Full Name | Steven G Wallach |
| Address |
1049 5th Avenue 2d New York NY 10028-0115 |
| Phone Number | 2128616400 |
| Gender | M |
| Medical School | NEW YORK UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330127 | JACOBI MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1049 5th Avenue, 2d, New York, NY 10028-0115 | 2128616400 |
| Street Address |
1049 5TH AVENUE 2D |
| City | NEW YORK |
| State | NY |
| Zip | 10028-0115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Wolf Loeb | Plastic and Reconstructive Surgery | 994 5th Ave, New York, NY 10028-0100 | |
| Michelle Copeland | Plastic and Reconstructive Surgery | 1001 5th Ave, New York, NY 10028-0107 | |
| Arielle N.b. Kauvar | Dermatology | 1044 5th Ave, New York, NY 10028-0108 | |
| Tina A Dobsevage | Internal Medicine | 1050 5th Ave, Ofc 4, New York, NY 10028-0110 | |
| Elizabeth A Poynor | Gynecological Oncology | 1050 5th Ave, New York, NY 10028-0110 | |
| Thomas Youm | Orthopedic Surgery | Ryc Orthopaedics PC | 1056 5th Ave, New York, NY 10028-0112 |
| Craig M Capeci | Sports Medicine | Ryc Orthopaedics PC | 1056 5th Ave, New York, NY 10028-0112 |
| Martin Quirno | Orthopedic Surgery | Ryc Orthopaedics PC | 1056 5th Ave, New York, NY 10028-0112 |
| Donald J Rose | Orthopedic Surgery | Ryc Orthopaedics PC | 1056 5th Ave, New York, NY 10028-0112 |
| Matthew R Kohler | Anesthesiology | Hudson Spine and Pain Medicine PC | 1056 5th Ave, Suite 1, New York, NY 10028-0112 |
| Find all physicians in zip 10028 | |||
| City | NEW YORK |
| Zip Code | 10028 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | NEW YORK + PLASTIC AND RECONSTRUCTIVE SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.