Individual
MALA MURTHY BALAKUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 FRANKLIN AVE, SUITE 203, GARDEN CITY, NY 11530-3221
(516) 248-2422
Mailing address
1100 FRANKLIN AVE, SUITE 203, GARDEN CITY, NY 11530-3221
(516) 248-2422
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
193074
NY
Other
Enumeration date
06/25/2006
Last updated
09/02/2014
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