Individual
MAREK BALUTOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
279 MAIN ST, SUITE 102, NEW PALTZ, NY 12561-1623
(845) 255-2930
(845) 255-3089
Mailing address
279 MAIN ST, SUITE 204, NEW PALTZ, NY 12561-1623
(845) 255-3046
(845) 255-0236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
229502
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02489783
—
NY
Enumeration date
05/09/2006
Last updated
11/11/2014
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