Individual
VISWANATHAN BALACHANDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 STEWART AVE, BETHPAGE, NY 11714-3596
(516) 938-0100
(516) 938-0120
Mailing address
55 WATER STREET, 2ND FLOOR CRED DEPT, NEW YORK, NY 10041-0004
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
115951
NY
2080P0205X
Pediatric Endocrinology Physician
Primary
115951
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00275049
—
NY
Enumeration date
05/18/2006
Last updated
02/24/2021
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