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

Allison Wallace

Individual provider Contractor · NPI 1376921718

Allison Wallace is a Contractor in Lido Beach, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

453 Lido Blvd
Lido Beach, NY 11561-5107
Phone: (516) 680-3741
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 606700121 (NY)

Record details

NPI number1376921718
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 18, 2015
Last updated in NPPESMay 18, 2015
Mailing address453 Lido Blvd, Lido Beach, NY 11561-5107