IndividualActive
Dvorah Balsam, MD
NPI 1871539155 · Pediatric Radiology Physician · Stony Brook, NY
Provider details
- NPI number
- 1871539155
- Entity type
- Individual
- Primary specialty
- Pediatric Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 101354 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
University Hospital at Stony Brook
Level 4
Stony Brook, NY 11794-0001
Phone: (631) 444-6919
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1559
Stony Brook, NY 11790-0989
Registry dates
- Enumerated
- 2006-06-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.