Whalio Doctors

NPI 1043476864

Wallace B Kalt MD PC

Organisation Legal Medicine Massapequa, NY

Practice location

Address
930 N Broadway Suite 3, Massapequa, NY 11758-2394
Phone
(516) 798-3110
Fax
(516) 798-3605

Authorised official

Name
Wallace B Kalt
Title
Medical Doctor
Phone
(516) 798-3110

Registered specialties

Legal Medicine Primary
Other Service Providers Taxonomy 173000000X Licence 077178 (NY)

Registry record

NPI
1043476864
Entity type
Organization
NPI issued
31 Jul 2008
Record last updated
31 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.