| NPI | 1982205894 |
|---|---|
| Doing Business As | BALANCED TELEMEDICINE |
| Entity Type | Organization |
| Authorized Contact | HAROLD JAMES FLOCKHART Owner/Practitioner 631-521-1683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |