Individual
STUART ALAN BALTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
26 AUTUMN LN, WEST SAND LAKE, NY 12196-2400
(518) 674-0421
Mailing address
26 AUTUMN LN, WEST SAND LAKE, NY 12196-2400
(518) 674-0421
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
67 000327
NY
Other
Enumeration date
04/21/2006
Last updated
07/08/2007
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