Individual
DR. SARAH I BALSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
118 S RIDGE ST STE 4, RYE BROOK, NY 10573-2848
(323) 651-5107
Mailing address
118 S RIDGE ST STE 4, RYE BROOK, NY 10573-2848
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002450
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002450
NY STATE LICENSE
—
Enumeration date
08/06/2013
Last updated
11/06/2019
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