Richard Allan Balter, MD Facp
Internal Medicine in Setauket, NY. Organization (NPI-2).
NPI number1265656342
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1265656342
- Entity type
- Organization (NPI-2)
- Legal business name
- Richard Allan Balter, MD Facp
- Organization subpart
- No
- Enumeration date
- Apr 12, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 1397591 | NY | Yes |
Practice location
6 Stone Gate CtSetauket, NY 11733-1346
Phone 631-331-1000 · Fax 631-928-7436
Mailing address
6 Stone Gate CtSetauket, NY 11733-1346
Phone 631-331-1000 · Fax 631-928-7436
Authorized official
Richard Allan Balter
Owner
6313311000
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