Individual
DANA BALTRUSITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 NORMA AVE, WEST ISLIP, NY 11795-1514
(631) 332-3193
Mailing address
230 NORMA AVE, WEST ISLIP, NY 11795-1514
(631) 332-3193
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
041.506781
IL
163WE0003X
Emergency Registered Nurse
Primary
692540-01
NY
163WE0003X
Emergency Registered Nurse
9570913
FL
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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