Organization
BALANCE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNNEA VILLANOVA MD (MEDICAL DIRECTOR, OWNER)
(917) 880-8518
Entity
Organization
Contact information
Practice address
515 MADISON AVE, SUITE 1720, NEW YORK, NY 10022-5403
(212) 758-3939
(212) 758-4244
Mailing address
396 BROADWAY, SUITE 501, NEW YORK, NY 10013-3500
(917) 880-8518
(917) 386-2586
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
203-848
NY
Other
Enumeration date
01/10/2007
Last updated
08/22/2020
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