IndividualActive
Nikolas Balas
NPI 1801322375 · Rehabilitation Practitioner · Coram, NY
Provider details
- NPI number
- 1801322375
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 32468 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3600 Route 112
Coram, NY 11727-4116
Phone: (631) 920-8500
Fax: (631) 920-8501
Approximate (ZIP-level) locationGet directions
Mailing address
3600 Route 112
Coram, NY 11727-4116
Registry dates
- Enumerated
- 2017-05-03
- Last updated
- 2017-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.