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NPI Profile for MICHAEL WALL in LINDENHURST, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
364SS0200X | 89 | Certified Clinical Nurse Specialist |
| NPI Number | 1083300123 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/12/2023 | |
| Last updated | 04/12/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MICHAEL WALL
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MICHAEL WALL