Individual
BALY COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
26 BLEECKER ST, NEW YORK, NY 10012-2499
(212) 965-7000
(212) 965-6996
Mailing address
26 BLEECKER ST, NEW YORK, NY 10012-2413
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
747071-1
NY
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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