Balsam, Leah

Balsam, Leah is an sole proprietor health care provider with primary practice located at 2201 Hempstead Tpke , East Meadow NY 11554-1859. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Balsam, Leah can be contacted via phone (516) 572-6501.

Contact Information

Primary practice address
2201 Hempstead Tpke East Meadow NY 11554-1859
Fax: (516) 572-5609
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 165245-1 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 165245-1 New York

Profile Details

NPI number 1184683096
LBN Legal business name Balsam, Leah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2006
Last updated Apr 10th, 2008 - about 16 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 1184683096 NPPES
New York MEDICAID 01477105

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