Laurie J Wallace, RPA-C
Laurie J Wallace, RPA-C is a Physician Assistant in Miller Place, New York. Qualified in 1998, 28 years ago. Practices with Caremed Primary and Urgent Care PC, a 21-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.
- Years since qualifying
- 28
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
765 Route 25A Ste 6Miller Place, NY 11764-2649
Phone: (631) 320-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 006630-1 (NY) |
|---|
Record details
| NPI number | 1326261579 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RPA-C |
| Sole proprietor | Yes |
| NPI enumerated | April 10, 2007 |
| Last updated in NPPES | November 10, 2021 |
| Certification date | November 10, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 1998 (28 years in practice) |
| Group practice | Caremed Primary And Urgent Care Pc — 21 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Other providers in Miller Place
-
Kristina Joan Denenkamp, PA
38 Manor Dr, Miller Place, NY 11764-1323 · (631) 681-9789
-
Mr. Daniel R. Raio, RPA-C
148 Natures Ln, Miller Place, NY 11764-3137 · (631) 636-6888
-
Kelsey Waisanen
111 Sylvan Ave, Miller Place, NY 11764-2420 · (631) 928-4888