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WALLACE B KALT MD PC NPI 1043476864


NPI Information

NPI: 1043476864
Provider Name: WALLACE B KALT MD PC
Classification: Legal Medicine - 173000000X
Entity Type: Organization
Address:
930 N BROADWAY
SUITE 3
MASSAPEQUA, NY
ZIP 11758
Phone: (516) 798-3110
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WALLACE B KALT MD PC is a legal medicine in Massapequa, NY. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. WALLACE B KALT MD PC NPI is 1043476864. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

930 N BROADWAY
SUITE 3
MASSAPEQUA, NY
ZIP 11758-394
Phone: (516) 798-3110
Fax: (516) 798-3605

The provider's authorized official is Wallace B Kalt .
The authorized official title is Medical Doctor and has the following contact phone number (516) 798-3110.

The enumeration date for this NPI number is 7/31/2008 and was last updated on 7/31/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1173000000XLegal Medicine077178NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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