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Individual

NIKITA BALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4045 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5611
(516) 731-7777
Mailing address
1 DAKOTA DR, NEW HYDE PARK, NY 11042-1135

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311948-01
NY

Other

Enumeration date
08/27/2024
Last updated
08/27/2024
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