NPI 1205442332

Ginger Marie Balsamo, NP

Practitioner Adult Health Nurse Practitioner Shirley, NY

Practice location

Address: 176 Hounslow Rd, Shirley, NY 11967-3217
Phone: (631) 605-1373

Registered specialties

Adult Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2200X Licence AG11190076 (NY)

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Registry record

NPI: 1205442332
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Sep 2020
Record last updated: 23 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.