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Individual

BALJEET PAUL KHERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
110 W 6TH ST, OSWEGO, NY 13126-2507
(267) 577-3003
Mailing address
110 W 6TH ST, OSWEGO, NY 13126-2507
(267) 577-3003

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
680181
NY
363LF0000X
Family Nurse Practitioner
Primary
341880
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
403542
NY

Other

Enumeration date
06/20/2017
Last updated
07/09/2021
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