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Individual

MS. AILEEN M BALAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 PENN PLAZA 8TH FLOOR, NEW YORK, NY 10119-1312
(646) 629-3984
Mailing address
250 BEACH 17TH ST., FAR ROCKAWAY, NY 11691-1312
(646) 629-3984

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304347
NY

Other

Enumeration date
03/27/2009
Last updated
08/04/2015
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