Individual
SARAH BALOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210
(717) 571-6887
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(717) 571-6887
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20A19106
CA
207P00000X
Emergency Medicine Physician
Primary
DO203702
OR
Other
Enumeration date
04/15/2016
Last updated
12/10/2021
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