Balaci, Edward

Balaci, Edward is an individual health care provider with primary practice located at 32-36 Harrison St , Johnson City NY 13790-2122. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Balaci, Edward can be contacted via phone (607) 729-1999.

Contact Information

Primary practice address
32-36 Harrison St Johnson City NY 13790-2122
Phone: (607) 729-1999
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 210748 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 210748 New York

Profile Details

NPI number 1932177870
LBN Legal business name Balaci, Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Apr 27th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932177870 NPPES
New York MEDICAID 01890968

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