Henry M. Balboa
Primary Podiatric Medicine
100 Manetto Hill Rd Suite 103
Plainview
, New York 11803-1311
Henry M. Balboa
Primary Podiatric Medicine
100 Manetto Hill Rd Suite 103
Plainview
, New York 11803-1311
(516) 822-9582
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Henry M. Balboa
- 100 Manetto Hill Rd Suite 103
- Plainview, NY
- Zip : 11803-1311
- Fax : (516) 822-9582
- Phone : (516) 822-9595
Second Address
- Henry M. Balboa
- 100 Manetto Hill Rd Suite 103
- Plainview, NY
- Zip : 11803-1311
- Fax : (516) 822-9582
- Phone : (516) 822-9595
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | N002265 | NY |
National Provider Identifier
| NPI | 1578557138 |
|---|---|
| Provider Name | Henry M. Balboa |
| First Address | Plainview, NY 11803-1311 |
| Second Address | Plainview, NY 11803-1311 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/09/2005 |
| Last Update Date | 16/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T50712 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.