Michael Wall, in Lindenhurst, NY - Clinical Nurse Specialist

Michael Wall, is a Clinical Nurse Specialist - School based in Lindenhurst, New York. Michael Wall is licensed to practice in New York (license number 447785) and his current practice location is Lindenhurst Middle School, 350 South Wellwood Ave, Lindenhurst, New York. He can be reached at his office (for appointments etc.) via phone at (631) 867-3510.

NPI number for Michael Wall is 1083300123 and his current mailing address is 25 Lloyd Ln, Nesconset, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083300123.

Contact Information

	Michael Wall,
	Lindenhurst Middle School, 350 South Wellwood Ave, Lindenhurst, NY 11757
	(631) 867-3510
	Not Available

Provider's Profile

Full Name	Michael Wall
Gender	Male
Speciality	Clinical Nurse Specialist - School
Location	Lindenhurst Middle School, Lindenhurst, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1083300123
Provider Enumeration Date: 04/12/2023
Last Update Date: 04/12/2023

Medical Identifiers

Medical identifiers for Michael Wall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083300123	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SS0200X	Clinical Nurse Specialist - School	447785 (New York)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Wall is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Michael Wall, 25 Lloyd Ln, Nesconset, NY 11767-2208 Ph: (917) 359-1933	Michael Wall, Lindenhurst Middle School, 350 South Wellwood Ave, Lindenhurst, NY 11757 Ph: (631) 867-3510

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Michael Wall, - Clinical Nurse Specialist in Lindenhurst, NY