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Individual

MRS. ELLEN MARIE BALON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
5530 SHERIDAN DRIVE, SUITE 1B, WILLIAMSVILLE, NY 14221
(716) 636-1947
(716) 636-1369
Mailing address
5530 SHERIDAN DRIVE, SUITE 1B, WILLIAMSVILLE, NY 14221
(716) 636-1947
(716) 636-1369

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F3302221
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000560297005
HEALTH NOW NEW YORK INC
NY
01
9512471
INDEPENDENT HEALTH
NY
Enumeration date
01/22/2007
Last updated
03/15/2016
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