Individual
DR. ATUL DEEP BALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2000
Mailing address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT213460
PA
207RI0011X
Interventional Cardiology Physician
Primary
314612
NY
Other
Enumeration date
05/26/2017
Last updated
06/08/2023
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