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

Emma Wallace, MD/PHD

Individual provider Vascular & Interventional Radiology Physician · NPI 1558893503

Emma Wallace, MD/PHD is a Neurology in Bronx, New York. Graduated from State University of New York Downstate Medical Center in 2017, 9 years ago. Practices with Jeffrey Farkas MD LLC, a 10-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
9
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2017
Specialties on file
3

Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 430-3166
Show map & directions

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

Additional practice locations (1)

  • 211 61st St Apt 1, Brooklyn, NY 11220-3782 — (718) 630-1270

Specialties & licences

Vascular Neurology Physician (primary) Taxonomy 2084V0102X · Licence 312463 (NY)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 312463 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558893503
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD/PHD
Sole proprietorYes
NPI enumeratedMarch 29, 2017
Last updated in NPPESApril 11, 2022
Certification dateApril 11, 2022
Mailing address43 Westminster Ave, Bergenfield, NJ 07621-3913

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2017 (9 years in practice)
Group practice Jeffrey Farkas Md Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Bronx