Individual
ADELA BALJIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1656 CHAMPLIN AVE, UTICA, NY 13502-4830
(315) 624-6000
Mailing address
1656 CHAMPLIN AVE, UTICA, NY 13502-4830
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
030904
NY
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/30/2023
Last updated
11/01/2023
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