Individual
SACHA BALMIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
325 PARK AVE, HUNTINGTON, NY 11743-2779
(631) 351-3784
(631) 547-5349
Mailing address
325 PARK AVE, HUNTINGTON, NY 11743-2779
(631) 351-3784
(631) 547-5349
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB08121300
NJ
207RN0300X
Nephrology Physician
Primary
241468
NY
207RN0300X
Nephrology Physician
25MB08121300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125229
—
NJ
01
—
P00766582
RR MEDICARE
NJ
Enumeration date
09/20/2006
Last updated
07/30/2024
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