Individual
GULZAR BALICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
147 E 26TH ST, NEW YORK, NY 10010-1868
(212) 870-9497
Mailing address
2443 OCEAN AVE APT 6D, BROOKLYN, NY 11229-3583
(646) 618-0863
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
309665
NY
363LA2200X
Adult Health Nurse Practitioner
706147-1
NY
Other
Enumeration date
06/03/2020
Last updated
06/04/2020
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