Nikolas Ryan Balas
Nikolas Ryan Balas is a Rehabilitation Practitioner in Coram, New York. Licensed in New York. Registered with an NPI since 2017.
- Licensed in
- NY
- In the registry since
- 2017
Practice location Address checks out
3600 Route 112Coram, NY 11727-4116
Phone: (631) 920-8500
Fax: (631) 920-8501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X · Licence 32468 (NY) |
|---|
Record details
| NPI number | 1801322375 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 3, 2017 |
| Last updated in NPPES | May 3, 2017 |
| Mailing address | 3600 Route 112, Coram, NY 11727-4116 |