Individual
EKATERINA BALASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3209 CONEY ISLAND AVE, BROOKLYN, NY 11235-7072
(718) 265-0005
Mailing address
3209 CONEY ISLAND AVE, BROOKLYN, NY 11235-7072
(718) 265-0005
(718) 265-2410
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
10/22/2020
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