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Individual

LAUREN M BALZANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., RPA-C

Contact information

Practice address
221 JERICHO TPKE, SYOSSET, NY 11791-4515
(516) 496-2752
(516) 496-2763
Mailing address
221 JERICHO TPKE, SYOSSET, NY 11791-4515
(516) 496-2752
(516) 496-2763

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
014454
NY
363AS0400X
Surgical Physician Assistant
Primary
014454
NY

Other

Enumeration date
12/17/2010
Last updated
07/11/2024
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