Individual
DHANALAKSHMI BALAKRISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 ARTHUR ST, SELDEN, NY 11784-2122
(510) 410-0123
Mailing address
10 ARTHUR ST, SELDEN, NY 11784-2122
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
296397
NY
Other
Enumeration date
05/17/2012
Last updated
10/12/2022
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