Balsamo, Donato Michael
Balsamo, Donato Michael is an individual health care provider with primary practice located at 197 Broadway , Amityville NY 11701-2703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Balsamo, Donato Michael can be contacted via phone (631) 691-1500.Contact Information
Primary practice address
197 Broadway
Amityville NY 11701-2703
Phone: (631) 691-1500
Fax: (631) 691-1503
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 209721 | New York |
Profile Details
| NPI number | 1720069826 |
|---|---|
| LBN Legal business name | Balsamo, Donato Michael |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720069826 | NPPES |
| New York | MEDICAID | 01872095 |
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