| Richard Allan Balter, Md Facp | |
|
6 Stone Gate Ct Setauket NY 11733-1346 | |
| (631) 331-1000 | |
| (631) 928-7436 |
| Full Name | Richard Allan Balter, Md Facp |
|---|---|
| Speciality | Internal Medicine |
| Location | 6 Stone Gate Ct, Setauket, New York |
| Authorized Official Name and Position | Richard Allan Balter (OWNER) |
| Authorized Official Contact | 6313311000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Allan Balter, Md Facp 6 Stone Gate Ct Setauket NY 11733-1346 Ph: (631) 331-1000 | Richard Allan Balter, Md Facp 6 Stone Gate Ct Setauket NY 11733-1346 Ph: (631) 331-1000 |
| NPI Number | 1265656342 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265656342 | NPI | - | NPPES |
| 00699683 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 1397591 (New York) | Primary |
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