Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wallace B Kalt MD PC

Organization Legal Medicine · NPI 1043476864

Wallace B Kalt MD PC is a Legal Medicine in Massapequa, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

930 N Broadway Ste 3
Massapequa, NY 11758-2394
Phone: (516) 798-3110
Fax: (516) 798-3605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Legal Medicine (primary) Taxonomy 173000000X · Licence 077178 (NY)

Record details

NPI number1043476864
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wallace Kalt — Medical Doctor · (516) 798-3110
NPI enumeratedJuly 31, 2008
Last updated in NPPESJuly 31, 2008
Mailing address930 N Broadway, Suite 3, Massapequa, NY 11758-2394

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