Individual
EROLL BALINGCONGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
575 LEXINGTON AVE, NEW YORK, NY 10022-6102
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
14422
CT
367500000X
Certified Registered Nurse Anesthetist
730714
CA
367500000X
Certified Registered Nurse Anesthetist
730714
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14422
CT DEPARTMENT OF PUBLIC HEALTH
CT
01
—
730714
NYS EDUCATION DEPARTMENT, OFFICE OF THE PROFESSIONS, RN LICENSING
NY
01
—
761685
CALIFORNIA BOARD OF NURSING
CA
Enumeration date
07/12/2017
Last updated
03/03/2025
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