Individual
NANCY BALKON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, NP, FAANP
Contact information
Practice address
267 E MAIN ST BLDG C, SMITHTOWN, NY 11787-2847
(631) 418-8069
(631) 656-0470
Mailing address
45 RESEARCH WAY STE 208A, EAST SETAUKET, NY 11733-6401
(631) 675-2125
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
300564
NY
363LA2200X
Adult Health Nurse Practitioner
300564
NY
Other
Enumeration date
04/26/2010
Last updated
02/15/2019
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