Individual
ILANA BALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 MURCHISON PL, WHITE PLAINS, NY 10605-3518
(914) 420-0025
Mailing address
12 MURCHISON PL, WHITE PLAINS, NY 10605-3518
(914) 420-0025
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F310570
NY
363LG0600X
Gerontology Nurse Practitioner
F310570
NY
Other
Enumeration date
11/06/2021
Last updated
11/06/2021
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