Individual provider · Type 1 NPI

Hever Ayn Vincent Laxa Balistoy, NP

Family Nurse Practitioner · New York, NY

NPI number 1790378396 Active

Practice location

462 1st Ave
New York, NY 10016-9196

Mailing address

8523 52nd Ave Fl 2
Elmhurst, NY 11373-4322

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF347268 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1790378396

Hever Ayn Vincent Laxa Balistoy, NP's National Provider Identifier is 1790378396, issued on Feb 15, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New York, NY. The record was last updated on Oct 7, 2022.