Gail Maria Bailey Wallace, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

201740 Issued in NY

Practice address

95 Grasslands Rd New York Medical College
Dept of Medicine Munger Pavilian
Valhalla, NY 10595

Phone

(914) 594-4388

Fax

(914) 594-4434

NPI assigned

Nov 14, 2006

Last updated

May 30, 2008By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1881766095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 GRASSLANDS RD",
            "address_2": "DEPT OF MEDICINE MUNGER PAVILION",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951652",
            "telephone_number": "914-594-4388",
            "fax_number": "914-594-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 GRASSLANDS RD NEW YORK MEDICAL COLLEGE",
            "address_2": "DEPT OF MEDICINE MUNGER PAVILIAN",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "10595",
            "telephone_number": "914-594-4388",
            "fax_number": "914-594-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY WALLACE",
        "first_name": "GAIL",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "201740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00832779",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS#",
            "identifier": "755AG1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deepa Badrinath Murthy
• Sneha Bagchi, MD
• Alexandra Bahn-Humphrey
• Natalie Ann Bai, DO
• Mirza Baig, MD
• Mosses Bairamian, M.D.
• Cris S Balamaci, PA
• Vita Merylle Balista
• Praveen Ballabh, MD
• Kathryn Ballerini

• Internal Medicine Physician in Valhalla, NY
• Providers in Valhalla, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.