Individual
MS. MAUREEN BALRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1118
(516) 321-3000
Mailing address
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1118
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
307976
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
307976
ADULT GERONTOLOGY PRIMARY CARE NURSE PRACTITIONER
NY
Enumeration date
10/04/2016
Last updated
06/24/2024
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