Individual
DR. JOHN THOMAS BALSAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
430 W MAIN ST, BABYLON, NY 11702-3003
(631) 376-0434
(631) 669-1815
Mailing address
63 3RD AVE, BAY SHORE, NY 11706-6605
(631) 376-0434
(631) 669-1815
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009799-1
NY
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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