Individual
BALASUKANYA BALARAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 TALLOW WOOD DR, CLIFTON PARK, NY 12065-2807
(518) 373-4500
Mailing address
PO BOX 7247-6822, PHILADELPHIA, PA 19170-0001
(914) 241-1050
(914) 242-1516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
266285
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03496522
—
NY
Enumeration date
03/30/2007
Last updated
05/06/2021
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