Organization
BALANCE DIAGNOSTICS USA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOVI FAIVISH (MEMBER)
(518) 612-4884
Entity
Organization
Contact information
Practice address
395 PEARSALL AVE, UNIT D, CEDARHURST, NY 11516-1828
(516) 612-4884
Mailing address
395 PEARSALL AVE, UNIT D, CEDARHURST, NY 11516-1828
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2012
Last updated
10/14/2022
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