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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659045235

Wallie Kanishka, PHYSICIANASSISTANT is a Student in an Organized Health Care Education/Training Program in Glen Cove, New York. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Glen Cove, NY

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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1659045235
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedAugust 5, 2021
Last updated in NPPESAugust 5, 2021
Certification dateAugust 5, 2021

Other providers in Glen Cove