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Individual

ABIGAIL BALCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
450 LAKEVILLE RD, NORTH NEW HYDE PARK, NY 11042-1118
(516) 314-2167
Mailing address
10420 QUEENS BLVD APT 2J, FOREST HILLS, NY 11375-3602
(516) 314-2167

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022002
NY

Other

Enumeration date
04/18/2018
Last updated
04/18/2018
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