Individual
MS. RAJNI BALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
108 W 39TH ST, NEW YORK, NY 10018-3614
(646) 559-4659
Mailing address
2165 43RD ST, ASTORIA, NY 11105-1401
(917) 439-1660
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308907-1
NY
Other
Enumeration date
09/09/2018
Last updated
09/09/2018
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