National Provider Identifier

Eva Wall, MD

Eva Wall, MD is listed in the NPPES registry with a primary specialty of Surgery Physician in Rochester, NY and a listed phone number of (585) 922-4518.

NPI 1053417113Rochester, NYSurgery Physician

Source: public NPPES record, last updated February 08, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1053417113
Provider Type
Individual
Primary Specialty
Surgery Physician
Enumeration Date
September 16, 2006
Last Updated
February 08, 2023

Practice Location

  • 1415 Portland Ave Ste 245
  • Rochester, NY 14621-3022

Phone: (585) 922-4518

Specialties

  • Surgery Physician (208600000X)

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Full Record
NPI
1053417113
Entity Type
Individual
Last Name
Wall
First Name
Eva
Credential
MD
Provider Other Last Name
Slepecki
Provider Other First Name
Eva
Provider Other Last Name Type Code
1
Mailing Street Address
1415 Portland Ave Ste 245
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-3022
Mailing Country
US
Mailing Phone
(585) 922-4518
Mailing Fax
(585) 922-3950
Practice Street Address
1415 Portland Ave Ste 245
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3022
Practice Country
US
Practice Phone
(585) 922-4518
Practice Fax
(585) 922-3950
Enumeration Date
September 16, 2006
Last Updated
February 08, 2023
Sex
Female
Sole Proprietor
No
Certification Date
February 08, 2023
Taxonomies
Surgery Physician (208600000X)