| NPI | 1194534685 |
|---|---|
| Other Name | BA MEDICAL |
| Entity Type | Organization |
| Authorized Contact | ARIEL GALLANOSA Medical Director 929-274-3536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2024-12-30 |