Individual provider · Type 1 NPI
Jeya Balasubramanian, PA
Medical Physician Assistant · Bronx, NY
NPI number
1902931785
Active
Practice location
111 E 210th St, Montefiore Medical Center
Bronx, NY 10467-2401
Mailing address
180 Phelps Ave
Englewood, NJ 07631-4913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 011581-1 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1902931785
Jeya Balasubramanian, PA's National Provider Identifier is 1902931785, issued on Feb 22, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bronx, NY. The record was last updated on Jul 8, 2007.