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

Dr. John Wallace Cornwall, MD

Individual provider Internal Medicine Physician · NPI 1174613400

Dr. John Wallace Cornwall, MD is an Internal Medicine Physician in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Central Park W # 1-DB
New York, NY 10023-6003
Phone: (212) 799-0630
Fax: (212) 799-4266
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 124680 (NY)

Record details

NPI number1174613400
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 16, 2006
Last updated in NPPESMarch 19, 2008

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