Individual
BROOKE HEATHER BALCHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
400 E FORDHAM RD, 6TH FLOOR, BRONX, NY 10458-5039
(718) 220-4176
(914) 527-8273
Mailing address
400 E FORDHAM RD, 6TH FLOOR, BRONX, NY 10458-5039
(718) 220-4176
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
254398
NY
Other
Enumeration date
06/07/2008
Last updated
01/16/2013
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