Individual
DR. CASILDA BALMACEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
710 W 168TH ST, NEW YORK, NY 10032-3726
(212) 305-4572
(212) 305-1470
Mailing address
710 W 168TH ST, NEW YORK, NY 10032-3726
(212) 305-4572
(212) 305-1470
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
186529-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01830579
—
NY
Enumeration date
06/20/2006
Last updated
02/12/2010
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