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Individual

MRS. GINGER MARIE BALSAMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
176 HOUNSLOW RD, SHIRLEY, NY 11967-3217
(631) 605-1373
Mailing address
176 HOUNSLOW RD, SHIRLEY, NY 11967-3217
(631) 605-1373

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AG11190076
NY

Other

Enumeration date
09/23/2020
Last updated
09/23/2020
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