STUART ALAN BALTER

WEST SAND LAKE, NY
NPI1780640417
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NY  67 000327)
Enumeration Date2006-04-21
Last Update Date2007-07-08
Business Address
-- STUART ALAN BALTER ATC
26 AUTUMN LN
WEST SAND LAKE, NY 12196-2400
Phone number: 518-674-0421
Mailing Address
-- STUART ALAN BALTER ATC
26 AUTUMN LN
WEST SAND LAKE, NY 12196-2400
Phone number: 518-674-0421
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