Tammy L Balamut NP PSYCHIATRIC NP

NPI 1255696811 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1255696811
Gender Female
Enumeration Date 07/10/2012
Last Updated 04/16/2014
Entity Type Individual
Active Over 4 years ago
Practice Location
167 POLK ST
SUITE 300
WATERTOWN NY, 13601-2770, US
Phone (315) 782-7445
Fax (315) 779-1184
Business Location
329 NORTH SALINA ST
SYRACUSE NY, 13203, US
Phone (315) 782-7445
Fax (315) 779-1184
Toxanomy
Taxonomy Code 363LP0808X
License State New York
License Number F401475-1
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According to our database, Ms. Tammy L Balamut NP PSYCHIATRIC NP NPI is 1255696811, taxonomy code is 363LP0808X and license number is F401475-1, license state is located at New York. Tammy L Balamut NP PSYCHIATRIC NP physically located at 167 Polk St, Watertown NY, 13601-2770. NPI Number Tammy L Balamut NP PSYCHIATRIC NP has the Individual type.

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1255696811 NPI number is provided on an as is basis without warranty of any kind. 1255696811 is maintained by the National Plan & Provider Enumeration System. The contents of Tammy L Balamut NP PSYCHIATRIC NP are for informational purposes only.