Individual
DR. HERBERTH BALSELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
400 E MAIN ST, MOUNT KISCO, NY 10549-3417
(914) 666-1254
Mailing address
400 E MAIN ST, MOUNT KISCO, NY 10549-3417
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
262276
NY
207R00000X
Internal Medicine Physician
262276
NY
Other
Enumeration date
03/23/2011
Last updated
11/05/2015
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