Individual
DR. DONATO MICHAEL BALSAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
197 BROADWAY, AMITYVILLE, NY 11701-2703
(631) 691-1500
(631) 691-1503
Mailing address
1010 NORTHERN BLVD STE 328, GREAT NECK, NY 11021-5329
(516) 233-2484
(516) 304-5850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209721
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01872095
—
NY
Enumeration date
11/07/2005
Last updated
10/17/2024
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