Organization
EDWARD BALZER, NURSE PRACTITIONER IN PSYCHIATRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD F BALZER PMHNP-BC (OWNER/CEO)
(631) 681-5584
Entity
Organization
Contact information
Practice address
51 RIVIERA DR, MASTIC BEACH, NY 11951-6024
(631) 681-5584
Mailing address
PO BOX 601, MASTIC BEACH, NY 11951-0601
(631) 681-5584
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/29/2025
Last updated
03/29/2025
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