Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 262276 | NY |
N | 207R00000X | Internist | 262276 | NY |
N | 111NI0900X | Internist | 262276 | NY |
NPI | 1013216571 |
---|---|
Provider Name | Dr. Herberth Balsells |
First Address | Mount Kisco, NY 10549-3417 |
Second Address | Mount Kisco, NY 10549-3417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2011 |
Last Update Date | 05/11/2015 |