Individual
LUCIA LEONDINA BALOS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 HIGH ST, BUFFALO, NY 14203-1126
(716) 859-5600
Mailing address
100 HIGH ST, BUFFALO, NY 14203-1126
(716) 859-5600
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
202249
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01903795
—
NY
Enumeration date
03/28/2006
Last updated
07/08/2007
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