IndividualActive
Michael Wall
NPI 1083300123 · School Clinical Nurse Specialist · Lindenhurst, NY
Provider details
- NPI number
- 1083300123
- Entity type
- Individual
- Primary specialty
- School Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 447785 (NY)
Practice location
Lindenhurst Middle School
350 South Wellwood Ave
Lindenhurst, NY 11757
Phone: (631) 867-3510
Mailing address
25 Lloyd Ln
Nesconset, NY 11767-2208
Registry dates
- Enumerated
- 2023-04-12
- Last updated
- 2023-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.