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

Carol Wallace

Individual provider Licensed Practical Nurse · NPI 1083111728

Carol Wallace is a Licensed Practical Nurse in Baldwin, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

1052 Archer Pl
Baldwin, NY 11510-3604
Phone: (516) 209-6062
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 282552-1 (NY)

Record details

NPI number1083111728
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 10, 2018
Last updated in NPPESApril 10, 2018
Mailing address1052 Archer Pl, Baldwin, NY 11510-3604

Other providers in Baldwin