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1871539155
DVORAH BALSAM
STONY BROOK, NY
NPI
1871539155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085P0229X Radiology Pediatric Radiology
(Licence: NY 101354)
Enumeration Date
2006-06-22
Last Update Date
2007-07-08
Business Address
DR. DVORAH BALSAM MD
UNIVERSITY HOSPITAL AT STONY BROOK LEVEL 4
STONY BROOK, NY 11794-0001
Phone number: 631-444-6919
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Mailing Address
DR. DVORAH BALSAM MD
PO BOX 1559
STONY BROOK, NY 11790-0989
Phone number: 631-444-6919
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