Individual
BALA S VINOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-4007
Mailing address
73 FAIRVIEW DR, ALBERTSON, NY 11507-1007
(516) 621-5381
(516) 326-3353
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305642-1
NY
Other
Enumeration date
03/13/2011
Last updated
03/13/2011
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