NIKOLAS RYAN BALAS

CORAM, NY
NPI1801322375
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
(Licence: NY  32468)
Enumeration Date2017-05-03
Last Update Date2017-05-03
Business Address
NIKOLAS RYAN BALAS
3600 ROUTE 112
CORAM, NY 11727-4116
Phone number: 631-920-8500
Mailing Address
NIKOLAS RYAN BALAS
3600 ROUTE 112
CORAM, NY 11727-4116
Phone number: 631-920-8500