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

Individual provider Pediatric Surgery Physician · NPI 1518181957

Kim Gabrielle Wallenstein, MD, PHD is a Pediatric Surgery Physician in Syracuse, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

725 Irving Ave Ste 401
Syracuse, NY 13210-1603
Phone: (315) 464-2878
Fax: (315) 464-2879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence 257433 (NY)

Record details

NPI number1518181957
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedApril 13, 2007
Last updated in NPPESDecember 6, 2012

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