Individual
MAGDALENA BALKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-2475
Mailing address
11 3RD ST, LINDENHURST, NY 11757-1324
(631) 978-6107
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
23-014581
NY
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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