Individual
MR. KYLE BALDUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
711 W 171ST ST APT 25, NEW YORK, NY 10032-2836
(845) 521-6387
Mailing address
711 W 171ST ST APT 26, NEW YORK, NY 10032-2837
(845) 521-6387
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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