Jacob Wallach, DPM Valid NPI

Individual provider · Primary Podiatric Medicine Podiatrist · Brooklyn, NY

NPI

1154437358

Type

Individual (Type 1)

Primary specialty

Primary Podiatric Medicine Podiatrist (Podiatrist)

Specialty group

Podiatric Medicine & Surgery Service Providers

Taxonomy code

213EP1101X

License number

N005523 (NY)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-08-21

Last updated

2022-01-02