Individual
CHUMADAT BALGOBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2254 STORY AVE, BRONX, NY 10473-1326
(718) 864-4969
Mailing address
2254 STORY AVE, BRONX, NY 10473-1326
(718) 864-4969
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
261533
NY
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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