Balakrishnan, Beena S
Balakrishnan, Beena S is an sole proprietor health care provider with primary practice located at 223 N Van Dien Ave , Ridgewood NJ 07450-2726. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Balakrishnan, Beena S can be contacted via phone (201) 690-6122.Contact Information
Primary practice address
223 N Van Dien Ave
Ridgewood NJ 07450-2726
Phone: (201) 690-6122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 25MA07973200 | New Jersey |
Profile Details
| NPI number | 1417065061 |
|---|---|
| LBN Legal business name | Balakrishnan, Beena S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Dec 10th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417065061 | NPPES |
| New Jersey | MEDICAID | 0095265 |
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