MA TERESA JUSTINE V BALBOA


Address: 19 Low Ln, Levittown, NY 11756-4511
Phone: 3477022828

MA TERESA JUSTINE V BALBOA (NPI# 1467069583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467069583
Entity Type Individual
Full Name MA TERESA JUSTINE V BALBOA
Practice Address 19 Low Ln
Levittown
NY 11756-4511
Practice Telephone 3477022828
Enumeration Date 2020-09-24
Last Update Date 2020-09-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
431842 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 19 LOW LN
City LEVITTOWN
State NY
Zip Code 11756-4511

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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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Competitor

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City LEVITTOWN
Zip Code 11756

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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