Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 271672 | NY |
NPI | 1528225513 |
---|---|
Provider Name | Dr. Divya Balachandar |
First Address | Bronx, NY 10459 |
Second Address | Bronx, NY 10459 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2008 |
Last Update Date | 28/01/2014 |