# MARY IRENE BALCERAK

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1194546788
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 433624 | NY | Yes |
| 323P00000X | Psychiatric Residential Treatment Facility | 433624 | NY | — |

## Other

- **Enumeration date:** 10/17/2024
- **Last updated:** 10/17/2024