Organization
HENRY M BALBOA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN R. TEITEL (OFFICE MANAGER)
(516) 822-9595
Entity
Organization
Contact information
Practice address
100 MANETTO HILL RD STE 103, PLAINVIEW, NY 11803-1311
(516) 822-9595
(516) 822-9592
Mailing address
100 MANETTO HILL RD STE 103, PLAINVIEW, NY 11803-1311
(516) 822-9595
(516) 822-9592
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
N0022651
NY
Other
Enumeration date
04/04/2008
Last updated
03/15/2012
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