Individual
BRIAN BALSAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1425 PORTLAND AVENUE WILSON BUILDING, ROCHESTER, NY 14621-2604
(585) 922-9003
(585) 922-9007
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-1900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
029061
NY
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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