Individual
MS. BALI CONNORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1300 YORK AVE, NEW YORK, NY 10065-4805
(212) 746-0301
Mailing address
145 E 27TH ST APT 4G, NEW YORK, NY 10016-9033
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
06/14/2022
Last updated
06/14/2022
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