Individual
MS. MADELYN ROSE TANOY BALICAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.N, N.P.
Contact information
Practice address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6000
Mailing address
50 STAUNTON ST, YONKERS, NY 10704-1973
(914) 751-7228
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F303437-1
NY
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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