Individual
BALSAM S NAKHLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 CYPRESS DR, ALBANY, NY 12211-1548
(518) 330-8304
Mailing address
10 CYPRESS DR, ALBANY, NY 12211-1548
(518) 330-8304
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
050231
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ABBA12211
PERSONAL NPI
NY
Enumeration date
11/09/2007
Last updated
11/09/2007
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