Individual
ALEXANDRA LIVIA BALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
159 BARNEGAT RD, POUGHKEEPSIE, NY 12601
(845) 454-1942
Mailing address
PO BOX 157, WHITE LAKE, NY 12786-0157
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024724
NY
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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