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Individual
JESSICA ELIZABETH BALARIN
Active
Individual
JESSICA ELIZABETH BALARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
020855
NY
363A00000X
Physician Assistant
Primary
020855
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04796585
—
NY
Enumeration date
06/19/2017
Last updated
10/01/2020
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