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

Bridget Quinn Wallace, TEACHER

Individual provider Other Specialist/Technologist · NPI 1518584762

Bridget Quinn Wallace, TEACHER is an Other Specialist/Technologist in Westbury, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020

Practice location Address checks out

1400 Old Country Rd Ste C-103N
Westbury, NY 11590-5156
Phone: (516) 806-6969
Show map & directions

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

Specialties & licences

Other Specialist/Technologist (primary) Taxonomy 246Z00000X · Licence 1208156 (NY)

Record details

NPI number1518584762
Entity typeIndividual (Type 1)
GenderFemale
Credentials TEACHER
Sole proprietorNo
NPI enumeratedJuly 2, 2020
Last updated in NPPESJuly 2, 2020
Certification dateJuly 2, 2020