Alison D Wallack, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

015449 Issued in NY

Practice address

404 E 88TH St
Apt. 5F
New York, NY 10128-6613

Phone

(917) 751-3919

NPI assigned

Oct 21, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1093967093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E 88TH ST",
            "address_2": "APT. 5F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286613",
            "telephone_number": "917-751-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E 88TH ST",
            "address_2": "APT. 5F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286613",
            "telephone_number": "917-751-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACK",
        "first_name": "ALISON",
        "middle_name": "D",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "015449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadav Wallach, MD
• Robert Wallach, MD
• Sharry Wallach, O.T.
• Steven Gregg Wallach, MD
• Thomas Wallach, MD
• Joel J Wallack, M.D.
• Marc Kenneth Wallack, M.D.
• Anna Waller, PHD
• John Felix Waller, M.D.
• Leslie A Waller I, LCSW-RP

• Speech-Language Pathologist in New York, NY
• Providers in New York, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.