VITA MERYLLE BALISTA

VALHALLA, NY
NPI1952079485
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: NY  F347217-01)
Enumeration Date2021-08-31
Last Update Date2023-05-19
Business Address
VITA MERYLLE BALISTA
100 WOODS RD
VALHALLA, NY 10595-1530
Phone number: 914-493-7518
Mailing Address
VITA MERYLLE BALISTA
100 WOODS RD
VALHALLA, NY 10595-1530
Phone number: 914-493-7518
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