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

Allison Wallace

Individual provider Contractor · NPI 1376921718

Allison Wallace is a Contractor in Lido Beach, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

453 Lido Blvd
Lido Beach, NY 11561-5107
Phone: (516) 680-3741
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 606700121 (NY)

Record details

NPI number1376921718
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 18, 2015
Last updated in NPPESMay 18, 2015