Organization
MUBEENA A BALTI MD PC
Active
Other names
Mubeena A Balti Physician PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUBEENA AKHTER BALTI MD (PRESIDENT)
(716) 836-8380
Entity
Organization
Contact information
Practice address
350 ALBERTA DR, AMHERST, NY 14226-1855
(716) 836-8380
Mailing address
350 ALBERTA DR, BUFFALO, NY 14226-1855
(716) 836-8380
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
152275
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00751359
—
NY
01
—
BA1514
PTAN
NY
Enumeration date
07/10/2008
Last updated
11/02/2015
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