Individual
CARLOS DANIEL MARTINEZ BALZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 E ADAMS ST, SUNY UPSTATE MEDICAL UNIVERSITY, SYRACUSE, NY 13210-2306
(315) 464-5540
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
281662
NY
207RP1001X
Pulmonary Disease Physician
Primary
281662
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04427083
—
NY
Enumeration date
05/13/2010
Last updated
10/27/2023
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