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Nikolas Ryan Balas
Rehabilitation Practitioner in Coram, New York
NPI 1801322375

Nikolas Ryan Balas is a Rehabilitation Practitioner based in Coram, NY. Nikolas Ryan Balas practices in Coram, NY. The NPI Number for Nikolas Ryan Balas is 1801322375 and holds a License No. 32468 (New York).

The current practice location address for Nikolas Ryan Balas is 3600 Route 112, Coram, NY and can be reached out via phone at 631-920-8500 and via fax at 631-920-8501.

Location: 3600 Route 112, Coram, NY, 11727-4116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801322375
Provider Name
Nikolas Ryan Balas
Credential
Provider Entity Type
Individual
Gender
Male
Address
3600 Route 112, Coram, NY, 11727-4116
Phone Number
631-920-8500
Fax Number
631-920-8501
Provider Enumeration Date
05/03/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3600 Route 112
City
Coram
State
New York
Zip
11727-4116
Phone Number
631-920-8500
Fax Number
631-920-8501
person
Provider Business Mailing Address Details
Address
3600 Route 112
City
Coram
State
New York
Zip
11727-4116
Phone Number
631-920-8500
Fax Number
631-920-8501
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
32468 (New York)
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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