Individual
LEAH BALSAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6501
(516) 572-5609
Mailing address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6501
(516) 572-5609
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
165245-1
NY
207RN0300X
Nephrology Physician
Primary
165245-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01477105
—
NY
Enumeration date
03/20/2006
Last updated
04/10/2008
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