Individual
HENRY M. BALBOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
100 MANETTO HILL RD, SUITE 103, PLAINVIEW, NY 11803-1311
(516) 822-9595
(516) 822-9582
Mailing address
100 MANETTO HILL RD, SUITE 103, PLAINVIEW, NY 11803-1311
(516) 822-9595
(516) 822-9582
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N002265
NY
Other
Enumeration date
09/09/2005
Last updated
02/16/2012
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