According to our database, the NPI number for Keyonna Wallace is 1861032864 and activated since 4 years ago. Keyonna Wallace is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 8002 Kew Gardens Rd Ste 704, Kew Gardens, NY 11415. You can also contact Keyonna Wallace via telephone number is (718) 520-1513. Provider NPI information was last updated on 10/19/2020.

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Overview of Keyonna Wallace

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 01/08/2020
  • Last updated: 10/19/2020

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 31387
  • License State: NY

Provider Mailing Address

  • Address: 79 Glenridge Rd
    Glenville, NY 12302
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 8002 Kew Gardens Rd Ste 704
    Kew Gardens, NY 11415
  • Phone: 718-520-1513
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 31387
  • License State: NY
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Keyonna Wallace?
  • A: The npi number for Keyonna Wallace is 1861032864.
  • Q: What are Keyonna Wallace's specialties?
  • A: Keyonna Wallace's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Keyonna Wallace?
  • A: The medical license number for Keyonna Wallace is 31387 and issued in NY in USA.
  • Q: Where is Keyonna Wallace practice location?
  • A: Keyonna Wallace is practicing at 8002 Kew Gardens Rd Ste 704, Kew Gardens, NY 11415.
  • Q: How to contact Keyonna Wallace?
  • A: You can contact Keyonna Wallace via 718-520-1513.