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Organization
BALANCE FOOT AND ANKLE LLC
Active
Organization
BALANCE FOOT AND ANKLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER MIRANDA DPM (OWNER)
(845) 596-4745
Entity
Organization
Contact information
Practice address
229 GREAT EAST NECK RD, WEST BABYLON, NY 11704-7801
(516) 344-5553
Mailing address
5 MARLBOROUGH CT, ROCKVILLE CENTRE, NY 11570-1822
(845) 596-4745
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04294551
—
NY
Enumeration date
07/03/2019
Last updated
08/10/2026
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