Balsam, Dvorah

Balsam, Dvorah is an individual health care provider with primary practice located at University Hospital At Stony Brook Level 4, Stony Brook NY 11794-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Radiology, which is considered as her primary health care specialty. Balsam, Dvorah can be contacted via phone (631) 444-6919.

Contact Information

Primary practice address
University Hospital At Stony Brook Level 4 Stony Brook NY 11794-0001
Phone: (631) 444-6919
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 101354 New York

Profile Details

NPI number 1871539155
LBN Legal business name Balsam, Dvorah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1871539155 NPPES
New York Other 74R981 EMP B/C B/S
New York Other 4518803 EMP B/C B/S
New York MEDICAID 00778547 EMP B/C B/S

Popular Providers