NPI 1083300123
Michael Wall
Practice location
- Address
- Lindenhurst Middle School 350 South Wellwood Ave, Lindenhurst, NY 11757
- Phone
- (631) 867-3510
- Mailing address
- 25 Lloyd Ln, Nesconset, NY 11767-2208
Registered specialties
School Clinical Nurse Specialist
Primary
Registry record
- NPI
- 1083300123
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Apr 2023
- Record last updated
- 12 Apr 2023
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.